Most Relevant Information
Provider Data
NPI Number: | 1003306952 |
Provider Name: | KYLE JON RASMUSSEN DDS |
Entity Type: | Individual |
Taxonomy Code: | 122300000X |
Specialty: | Dentist |
License Number: | D13996 |
Most Important Dates
Enumeration Date: | 05/16/2018 |
Last Updated: | 05/16/2018 |
Provider Practice Location
217 NASSAU ST
SAINT PETER
MN
560822055
Practice Location Phone/Fax
Phone: | 5079315646 |
Fax: |
Provider Mailing Location
PO BOX 448
SAINT PETER
MN
560820448
Provider Mailing Phone/Fax
Phone: | |
Fax: |