Individual
DR. STANLEY K RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1800 LINCOLN WAY, SUITE 100, COEUR D ALENE, ID 83814-2570
(208) 765-3322
(208) 765-1024
Mailing address
1800 LINCOLN WAY, SUITE 100, COEUR D ALENE, ID 83814-2570
(208) 765-3322
(208) 765-1024
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DEN-DEN-LIC-30744
MT
1223G0001X
General Practice Dentistry
Primary
D1899
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000458500
—
ID
Enumeration date
04/23/2008
Last updated
04/10/2025
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