Organization
KENNETH J RASBORNIK, DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH JAMES RASBORNIK DMD, PA (OWNER/DOCTOR)
(704) 278-1118
Entity
Organization
Contact information
Practice address
11707 STATESVILLE BLVD, CLEVELAND, NC 27013-9418
(704) 278-1118
(704) 278-4480
Mailing address
11707 STATESVILLE BLVD, CLEVELAND, NC 27013-9418
(704) 278-1118
(704) 278-4480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6374
NC
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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