| NPI | 1487473013 |
|---|---|
| Doing Business As | RUCKER ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JONATHAN RUCKER Owner 804-878-1069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |