Antonio Ernesto Rabassa, DMD
Dentist in Sebastian, FL. Individual provider (NPI-1).
NPI number1164032504
StatusActive
Last updated in NPPESSep 24, 2021
Details
- NPI
- 1164032504
- Entity type
- Individual (NPI-1)
- Name
- Antonio Ernesto Rabassa
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2020
- Certification date
- Sep 24, 2021
- Last updated
- Sep 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN25302 | FL | Yes |
Practice location
9402 N Us Highway 1Sebastian, FL 32958-6398
Phone 772-589-1140
Mailing address
9402 N Us Highway 1Sebastian, FL 32958-6398
Phone 786-239-0732
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