| NPI | 1629521901 |
|---|---|
| Doing Business As | IMPLANT AND PERIODONTAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | RICHARD RASMUSSEN President 813-977-2928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: FL DN0009123) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2016-08-03 |