Individual
MICHAEL TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
222 N CHELAN AVE, WENATCHEE, WA 98801-2105
(509) 662-2260
(509) 663-8905
Mailing address
222 N CHELAN AVE, WENATCHEE, WA 98801-2105
(509) 662-2260
(509) 663-8905
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60970288
WA
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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