Individual
CHASE RUCKHABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12050 VENTURA BLVD STE C101, STUDIO CITY, CA 91604-2639
(818) 296-9142
Mailing address
14116 VALLEY VISTA BLVD, SHERMAN OAKS, CA 91423-4657
(248) 996-7207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
111822
CA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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