Individual
SEAN MICHAEL RATHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3015 GREEN MEADOW DR, SAN ANGELO, TX 76904-6975
(325) 949-1288
Mailing address
314 SELLERS ST, SAN ANGELO, TX 76903-7950
(903) 908-0977
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
39375
TX
Other
Enumeration date
05/22/2019
Last updated
07/10/2023
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