Individual
DONALD LEE RASTEDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1311 DIXON RD, ROCK FALLS, IL 61071-1906
(815) 625-5191
Mailing address
PO BOX 108, ROCK FALLS, IL 61071-0108
(815) 625-5191
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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