Individual
JANET LYNN RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
380 W MARKET ST, CRAWFORDSVILLE, IN 47933-1632
(765) 362-1906
(765) 359-0688
Mailing address
380 W MARKET ST, CRAWFORDSVILLE, IN 47933-1632
(765) 362-1906
(765) 359-0688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008139A
IN
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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