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Organization
RICHARD A. RASMUSSEN, DDS, PA
Active
Organization
RICHARD A. RASMUSSEN, DDS, PA
Active
Other names
Implant and Periodontal Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD RASMUSSEN JR. (PRESIDENT)
(813) 977-2928
Entity
Organization
Contact information
Practice address
3450 E FLETCHER AVE, SUITE 340, TAMPA, FL 33613-4655
(813) 977-2928
Mailing address
3450 E FLETCHER AVE, SUITE 340, TAMPA, FL 33613-4655
(813) 977-2928
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN0009123
FL
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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