Individual
DUHWAN RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
282 NORMAN DR, VALDOSTA, GA 31601-5487
(229) 474-6313
Mailing address
282 NORMAN DR, VALDOSTA, GA 31601-5487
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122407
GA
Other
Enumeration date
08/13/2021
Last updated
09/27/2022
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