| Kenneth J Rasbornik, Dmd Pa | |
|
11707 Statesville Blvd Cleveland NC 27013-9418 | |
| (704) 278-1118 | |
| (704) 278-4480 |
| Full Name | Kenneth J Rasbornik, Dmd Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11707 Statesville Blvd, Cleveland, North Carolina |
| Authorized Official Name and Position | Kenneth James Rasbornik (OWNER/DOCTOR) |
| Authorized Official Contact | 7042781118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J Rasbornik, Dmd Pa 11707 Statesville Blvd Cleveland NC 27013-9418 Ph: (704) 278-1118 | Kenneth J Rasbornik, Dmd Pa 11707 Statesville Blvd Cleveland NC 27013-9418 Ph: (704) 278-1118 |
| NPI Number | 1194023481 |
|---|---|
| Provider Enumeration Date | 03/10/2011 |
| Last Update Date | 03/10/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194023481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6374 (North Carolina) | Primary |