Organization
JONATHAN W. RUCKER, DDS, MS, PC
Active
Other names
Rucker Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN RUCKER DDS (OWNER)
(804) 878-1069
Entity
Organization
Contact information
Practice address
31560 RANCHO PUEBLO RD STE 201, TEMECULA, CA 92592-4850
(804) 878-1069
Mailing address
31560 RANCHO PUEBLO RD STE 201, TEMECULA, CA 92592-4850
(804) 878-1069
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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