DR. Edwin R Tucker, DDS

NPI #1437285988 in Highland, Utah

Provider Information

NPI Number: 1437285988
Entity Type: Individual
Name: DR. Edwin R Tucker, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Feb 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 10925 NORTH ALPINE HIGHWAY
City: Highland
State: Utah
ZIP Code: 84003-8880
Phone: (801) 756-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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