Individual
DR. GARY MARTIN RASKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3940 SWIFT RD, SARASOTA, FL 34231-6541
(941) 923-0033
(941) 922-4621
Mailing address
3940 SWIFT RD, SARASOTA, FL 34231-6541
(941) 923-0033
(941) 922-4621
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
08388
IA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN18583
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000169002
PTAN
MO
05
—
0493114
—
IA
Enumeration date
08/14/2006
Last updated
02/24/2012
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