Organization
RASTETTER DENTAL PC
Active
Other names
Douglas Dental PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWIGHT W RASTETTER DDS (OWNER)
(515) 270-6809
Entity
Organization
Contact information
Practice address
6128 DOUGLAS AVE, DOUGLAS DENTAL PC, DES MOINES, IA 50322
(515) 270-6809
(515) 270-4959
Mailing address
6128 DOUGLAS AVE, DOUGLAS DENTAL PC, DES MOINES, IA 50322
(515) 270-6809
(515) 270-4959
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8061
IA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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