Organization
RASMUSSEN FAMILY DENTISTRY, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW RASMUSSEN (DENTIST)
(920) 655-4732
Entity
Organization
Contact information
Practice address
1225 E NORTHLAND AVE, APPLETON, WI 54911-8415
(920) 739-3887
Mailing address
N3933 COUNTY ROAD U, DE PERE, WI 54115-8824
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6884-15
WI
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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