MR. Willie J Rucker, DDS

NPI #1205870169 in Markham, Illinois

Provider Information

NPI Number: 1205870169
Entity Type: Individual
Name: MR. Willie J Rucker, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 16048 KEDZIE AVENUE
City: Markham
State: Illinois
ZIP Code: 60428
Phone: (708) 331-4999

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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