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Individual

RUGES F STOCKTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5219 TWO NOTCH RD, COLUMBIA, SC 29204-2940
(803) 735-9446
(803) 735-9813
Mailing address
5219 TWO NOTCH RD, COLUMBIA, SC 29204-2940
(803) 735-9446
(803) 735-9813

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
ZX3901
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689764599
SC
Enumeration date
04/18/2007
Last updated
07/09/2007
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