Organization
RUCKER ORTHODONTIC SPECIALISTS A DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN RUCKER DDS (OWNER)
(804) 878-1069
Entity
Organization
Contact information
Practice address
38605 CALISTOGA DR STE 250, MURRIETA, CA 92563-4885
(951) 302-0685
Mailing address
38605 CALISTOGA DR STE 250, MURRIETA, CA 92563-4885
(951) 302-0685
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/31/2025
Last updated
05/31/2025
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