Individual
DR. RAYMOND BERNARD TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8931 SE FOSTER RD, PORTLAND, OR 97266-4661
(855) 433-6825
Mailing address
353 E BONNEVILLE AVE UNIT 720, LAS VEGAS, NV 89101-6662
(719) 210-8901
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
D9930
OR
1223P0221X
Pediatric Dentistry
Primary
S6-195C
NV
Other
Enumeration date
06/10/2011
Last updated
06/02/2021
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