NPI | 1033294483 |
---|---|
Doing Business As | NORTH STATE PERIO |
Former Legal Business Name | TOLMIE, RASENBERGER & VAN KESTEREN, DDS, PA |
Entity Type | Organization |
Authorized Contact | KENNETH P RASENBERGER Owner / Dentist 704-549-4991 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0300X Dentist, Periodontics |
Enumeration Date | 2006-10-26 |
Last Update Date | 2022-07-21 |