Individual
DR. THOMAS DAVID RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1107 S. CATALPA ST., SAVANNAH, MO 64485
(816) 383-1925
Mailing address
1107 S. CATALPA ST., SAVANNAH, MO 64485
(816) 383-1925
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MO012741
MO
1223G0001X
General Practice Dentistry
12741
MO
Other
Enumeration date
06/16/2005
Last updated
01/13/2012
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