Individual
BRET J TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1953 CALIFORNIA AVE, SALT LAKE CITY, UT 84104-4100
(801) 886-9341
(801) 886-1786
Mailing address
PO BOX 271069, SALT LAKE CITY, UT 84127-1069
(801) 886-9341
(801) 886-1786
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
144126-9921
UT
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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