| Ballan D Tuck Dds Inc | |
|
1375 Grand Ave Ste 101 Piedmont CA 94610-1076 | |
| (510) 251-1962 | |
| (510) 251-8333 |
| Full Name | Ballan D Tuck Dds Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1375 Grand Ave Ste 101, Piedmont, California |
| Authorized Official Name and Position | Ballan D Tuck (SUPERVISING/MANAGING DENTIST) |
| Authorized Official Contact | 5102511962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ballan D Tuck Dds Inc 1375 Grand Ave Ste 101 Piedmont CA 94610-1076 Ph: (510) 251-1962 | Ballan D Tuck Dds Inc 1375 Grand Ave Ste 101 Piedmont CA 94610-1076 Ph: (510) 251-1962 |
| NPI Number | 1962177733 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 05/19/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962177733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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