Brenda J Tucker, CDA

NPI #1306235577 in Centerville, Ohio

Provider Information

NPI Number: 1306235577
Entity Type: Individual
Name: Brenda J Tucker, CDA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Credential: CDA
Enumeration Date: Jan 12, 2015
Last Updated: Jan 12, 2015

Practice Location

Address: 7058 CORPORATE WAY
Address 2: SUITE 3
City: Centerville
State: Ohio
ZIP Code: 45459-4295
Phone: (937) 586-7729

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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Organizations

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