| Jonathan W. Rucker, Dds, Ms, Pc | |
|
31560 Rancho Pueblo Rd Ste 201 Temecula CA 92592-4850 | |
| (804) 878-1069 | |
| Not Available |
| Full Name | Jonathan W. Rucker, Dds, Ms, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 31560 Rancho Pueblo Rd Ste 201, Temecula, California |
| Authorized Official Name and Position | Jonathan Rucker (OWNER) |
| Authorized Official Contact | 8048781069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan W. Rucker, Dds, Ms, Pc 31560 Rancho Pueblo Rd Ste 201 Temecula CA 92592-4850 Ph: (804) 878-1069 | Jonathan W. Rucker, Dds, Ms, Pc 31560 Rancho Pueblo Rd Ste 201 Temecula CA 92592-4850 Ph: (804) 878-1069 |
| NPI Number | 1487473013 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487473013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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