Organization
BALLAN D TUCK DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BALLAN D TUCK DDS (SUPERVISING/MANAGING DENTIST)
(510) 251-1962
Entity
Organization
Contact information
Practice address
1375 GRAND AVE STE 101, PIEDMONT, CA 94610-1076
(510) 251-1962
(510) 251-8333
Mailing address
1375 GRAND AVE STE 101, PIEDMONT, CA 94610-1076
(510) 251-1962
(510) 251-8333
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
05/19/2022
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