Individual
DR. JONATHAN WADE RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
31560 RANCHO PUEBLO RD, 201, TEMECULA, CA 92592-4858
(951) 302-0685
Mailing address
31560 RANCHO PUEBLO RD, 201, TEMECULA, CA 92592-4858
(951) 302-0685
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
62059
CA
Other
Enumeration date
08/26/2011
Last updated
05/31/2025
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