Organization
JOHN AND SANDRA RUOCCO DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FRANK RUOCCO DDS (PRESIDENT DDS)
(704) 843-2880
Entity
Organization
Contact information
Practice address
8418 NEWTOWN RD, WAXHAW, NC 28173-8302
(704) 843-2880
(704) 843-1652
Mailing address
8418 NEWTOWN RD, WAXHAW, NC 28173-8302
(704) 843-2880
(704) 843-1652
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7738
NC
Other
Enumeration date
01/09/2007
Last updated
08/22/2020
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