Individual
DR. ANDREA ALEXIS TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3307 ROCHESTER RD, ROYAL OAK, MI 48073-2850
(248) 307-7434
Mailing address
1326 KINGS POINTE RD, GRAND BLANC, MI 48439-8615
(810) 265-3986
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600633
MI
Other
Enumeration date
09/23/2020
Last updated
10/23/2024
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