Individual
DR. CHAD MICHAEL RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D11347
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1001497
DC
Other
Enumeration date
01/18/2007
Last updated
03/22/2023
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