Ballan D Tuck DDS INC
NPI #1962177733 in Piedmont, California
Provider Information
- NPI Number
- 1962177733
- Entity Type
- Organization
- Organization Name
- Ballan D Tuck DDS INC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 12, 2021
- Last Updated
- May 19, 2022
Practice Location
- Address
- 1375 GRAND AVE STE 101
- City
- Piedmont
- State
- California
- ZIP Code
- 94610-1076
- Phone
- (510) 251-1962
Authorized Official
- Name
- BALLAN D TUCK, DDS
- Title
- SUPERVISING/MANAGING DENTIST
- Phone
- (510) 251-1962
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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