Organization
RICHARD A. RASMUSSEN, DDS, PA
Active
Other names
Implant and Periodontal Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD RASMUSSEN JR. (PRESIDENT)
(813) 977-2928
Entity
Organization
Contact information
Practice address
3450 E FLETCHER AVE, SUITE 340, TAMPA, FL 33613-4655
(813) 977-2928
Mailing address
3450 E FLETCHER AVE, SUITE 340, TAMPA, FL 33613-4655
(813) 977-2928
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN0009123
FL
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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