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Individual
LINDY D RUCKS
Active
Individual
LINDY D RUCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
100558
CA
1223G0001X
General Practice Dentistry
019026717
IL
Other
Enumeration date
01/24/2007
Last updated
01/30/2017
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