Individual
JONATHAN M RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7410 CREEK RD, SANDY, UT 84093-6140
(801) 352-7889
Mailing address
7410 CREEK RD, SANDY, UT 84093-6140
(801) 352-7889
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
73307789922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006644300
—
MN
Enumeration date
03/01/2006
Last updated
11/23/2009
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