Organization
RUCKER DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS AARON RUCKER (GENERAL DENTIST)
(803) 283-9969
Entity
Organization
Contact information
Practice address
406 CHESTERFIELD AVE, LANCASTER, SC 29720-3508
(803) 283-9969
Mailing address
406 CHESTERFIELD AVE, LANCASTER, SC 29720
(803) 283-9969
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
06/14/2011
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