Individual
DEVON L RASMUSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7101 PROSPECT PL NE, ALBUQUERQUE, NM 87110-4313
(505) 268-4484
Mailing address
3233 CALLE SUENOS SE, RIO RANCHO, NM 87124-7565
(208) 252-1190
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD4698
NM
Other
Enumeration date
06/09/2017
Last updated
06/09/2017
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