Individual
DR. RYAN RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
31560 RANCHO PUEBLO RD STE 201, TEMECULA, CA 92592-4850
(951) 302-0685
Mailing address
31560 RANCHO PUEBLO RD STE 201, TEMECULA, CA 92592-4850
(760) 238-2563
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
106049
CA
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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