Organization
DONALD N. TUCK DDS LTD
Active
Parent organization
DONALD N. TUCK DDS LTD
Organization subpart
Yes
Provider details
NPI number
Legal business name
DONALD N. TUCK DDS LTD
Authorized official
DR. DONALD N. TUCK DDS (OWNER/PRESIDEENT)
(630) 969-0654
Entity
Organization
Contact information
Practice address
1121 WARREN AVE., SUITE 120, DOWNERS GROVE, IL 60515-3571
(630) 969-0654
(630) 969-3601
Mailing address
1121 WARREN AVE., SUITE 120, DOWNERS GROVE, IL 60515-3571
(630) 969-0654
(630) 969-3601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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