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Individual

BENJAMIN NORMAN JENS RASMUSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1800 LINCOLN WAY STE 100, COEUR D ALENE, ID 83814-2570
(208) 765-3322
(208) 765-1024
Mailing address
1800 LINCOLN WAY STE 100, COEUR D ALENE, ID 83814-2570
(208) 765-3322
(208) 765-1024

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-5545
ID

Other

Enumeration date
08/22/2023
Last updated
08/22/2023
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