Corcinna Lynn Tucker, DENTAL HYGIENE

NPI #1790920502 in Beloit, Wisconsin

Provider Information

NPI Number: 1790920502
Entity Type: Individual
Name: Corcinna Lynn Tucker, DENTAL HYGIENE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: DENTAL HYGIENE
Enumeration Date: Dec 8, 2008
Last Updated: Jun 22, 2017

Practice Location

Address: 74 ECLIPSE CTR
City: Beloit
State: Wisconsin
ZIP Code: 53511-3550
Phone: (608) 361-6048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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