DR. Bradley William Tucker, DDS

NPI #1508298019 in Montrose, Colorado

Provider Information

NPI Number: 1508298019
Entity Type: Individual
Name: DR. Bradley William Tucker, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Aug 7, 2013
Last Updated: Aug 7, 2013

Practice Location

Address: 940 BLACK CANYON WAY
City: Montrose
State: Colorado
ZIP Code: 81403-9833
Phone: (360) 820-1407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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