DR. Douglas Joseph Tucker, D.M.D.
NPI #1619065091 in Rensselaer, New York
Provider Information
- NPI Number
- 1619065091
- Entity Type
- Individual
- Name
- DR. Douglas Joseph Tucker, D.M.D.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- D.M.D.
- Enumeration Date
- Oct 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 169 COLUMBIA TPKE
- City
- Rensselaer
- State
- New York
- ZIP Code
- 12144-3521
- Phone
- (518) 463-6153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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