Individual
DR. MATTHEW DANIEL RASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2380 MERCHANT MILE, COLUMBUS, IN 47201-1557
(812) 378-5500
Mailing address
401 N SENATE AVE UNIT 182, INDIANAPOLIS, IN 46204-1247
(516) 695-2419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12012986A
IN
Other
Enumeration date
08/02/2018
Last updated
08/02/2018
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