Individual
DR. MATTHEW PAUL RASANOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
42707 N RIDGE RD, ELYRIA, OH 44035-1054
(440) 324-3441
Mailing address
9245 ROOT RD, NORTH RIDGEVILLE, OH 44039-4365
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.025528
OH
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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