Ronald Lee Tuck D. D. S.

NPI 1023096229 - Dentist - 1223G0001X

NPI Details
NPI 1023096229
Gender Male
Enumeration Date 01/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
11250 E 13 MILE RD
SUITE 3
WARREN MI, 48093-2597, US
Phone (586) 574-9500
Fax (586) 574-9503
Business Location
11250 E 13 MILE RD
SUITE 3
WARREN MI, 48093-2597, US
Phone (586) 574-9500
Fax (586) 574-9503
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 102630
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According to our database, Dr. Ronald Lee Tuck D. D. S. NPI is 1023096229, taxonomy code is 1223G0001X and license number is 102630, license state is located at Michigan. Ronald Lee Tuck D. D. S. physically located at 11250 E 13 Mile Rd, Warren MI, 48093-2597. NPI Number Ronald Lee Tuck D. D. S. has the Individual type.

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1023096229 NPI number is provided on an as is basis without warranty of any kind. 1023096229 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald Lee Tuck D. D. S. are for informational purposes only.