Individual
KENNETH P RASENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8734 UNIVERSITY CITY BLVD, CHARLOTTE, NC 28213-3558
(704) 549-4991
(704) 549-0135
Mailing address
8734 UNIVERSITY CITY BLVD, CHARLOTTE, NC 28213-3558
(704) 549-4991
(704) 549-0135
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
6785
NC
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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