Organization
THEODORE R. RASK, DMD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEODORE R RASK DMD (PRESIDENT)
(503) 880-1299
Entity
Organization
Contact information
Practice address
16055 SW REGATTA LN, 800, BEAVERTON, OR 97006-8303
(503) 880-1299
Mailing address
16055 SW REGATTA LN, 800, BEAVERTON, OR 97006-8303
(503) 880-1299
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9772
OR
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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