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Dr. Edwin Lee Tucker, D.M.D

Dentist in Owens Cross Roads, AL. Individual provider (NPI-1).

NPI number1285882860
StatusActive
Last updated in NPPESSep 8, 2008

Details

NPI
1285882860
Entity type
Individual (NPI-1)
Name
Dr. Edwin Lee Tucker
Credential
D.M.D
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 8, 2008
Last updated
Sep 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist4131ALYes

Practice location

210 Sutton Rd Se
Owens Cross Roads, AL 35763-8753

Phone 256-534-1475 · Fax 256-533-1425

Mailing address

210 Sutton Rd Se
Owens Cross Roads, AL 35763-8753

Phone 256-534-1475 · Fax 256-533-1425

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