Provider Demographics
NPI:1386840163
Name:RASETTO, FLAVIO HORACIO (DDS)
Entity Type:Individual
Prefix:
First Name:FLAVIO
Middle Name:HORACIO
Last Name:RASETTO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5454 WISCONSIN AVE STE 1500
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6922
Mailing Address - Country:US
Mailing Address - Phone:301-652-9717
Mailing Address - Fax:
Practice Address - Street 1:5454 WISCONSIN AVE STE 1500
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6922
Practice Address - Country:US
Practice Address - Phone:301-652-9717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD124111223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics