Rucker, Jonathan Wade

Rucker, Jonathan Wade is an individual health care provider with primary practice located at 31560 Rancho Pueblo Rd 201, Temecula CA 92592-4858. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Rucker, Jonathan Wade can be contacted via phone (951) 302-0685.

Contact Information

Primary practice address
31560 Rancho Pueblo Rd 201 Temecula CA 92592-4858
Phone: (951) 302-0685
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 62059 California

Profile Details

NPI number 1124308770
LBN Legal business name Rucker, Jonathan Wade
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2011
Last updated Nov 20th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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