Kenneth J Rasbornik, Dmd Pa | |
11707 Statesville Blvd Cleveland NC 27013-9418 | |
(704) 278-1118 | |
(704) 278-4480 |
Full Name | Kenneth J Rasbornik, Dmd Pa |
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Speciality | Dentist - General Practice |
Location | 11707 Statesville Blvd, Cleveland, North Carolina |
Authorized Official Name and Position | Kenneth James Rasbornik (OWNER/DOCTOR) |
Authorized Official Contact | 7042781118 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kenneth J Rasbornik, Dmd Pa 11707 Statesville Blvd Cleveland NC 27013-9418 Ph: (704) 278-1118 | Kenneth J Rasbornik, Dmd Pa 11707 Statesville Blvd Cleveland NC 27013-9418 Ph: (704) 278-1118 |
NPI Number | 1194023481 |
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Provider Enumeration Date | 03/10/2011 |
Last Update Date | 03/10/2011 |
Identifier | Type | State | Issuer |
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1194023481 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 6374 (North Carolina) | Primary |