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1124308770
JONATHAN WADE RUCKER
TEMECULA, CA
NPI
1124308770
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: CA 62059)
Enumeration Date
2011-08-26
Last Update Date
2013-11-20
Business Address
Dr. JONATHAN WADE RUCKER DDS, MS
31560 RANCHO PUEBLO RD 201
TEMECULA, CA 92592-4858
Phone number: 951-302-0685
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Mailing Address
Dr. JONATHAN WADE RUCKER DDS, MS
31560 RANCHO PUEBLO RD 201
TEMECULA, CA 92592-4858
Phone number: 951-302-0685
Copy
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