Individual
DR. MARK STEPHEN RASCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4881 SUGAR MAPLE DR, WRIGHT PATTERSON AFB, OH 45433-5546
(937) 257-0500
Mailing address
2135 HILLRISE CIR, BELLBROOK, OH 45305-1860
(937) 848-8296
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30-022046
OH
Other
Enumeration date
10/06/2005
Last updated
07/08/2007
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