Individual
DR. KENNETH GARY RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1752 TIMBERWOOD BLVD, CHARLOTTESVILLE, VA 22911-7593
(434) 974-6492
Mailing address
1752 TIMBERWOOD BLVD, CHARLOTTESVILLE, VA 22911-7593
(434) 974-6492
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007177
VA
Other
Enumeration date
05/10/2011
Last updated
05/25/2011
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