| NPI | 1356634471 |
|---|---|
| Former Legal Business Name | RASCHE PEDIATRIC DENTISTRY, LLC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW L RASCHE Owner/Member 812-661-0612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: IN 12011284A) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2011-11-22 |