NPI | 1407954746 |
---|---|
Professional Name | W EUGENE RATHBURN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: CA 18264) |
Additional Taxonomies | 1223P0300X Dentist Periodontics (Licence: CA 18264) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |