Individual
DOUGLAS RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
142 RANCH DR, MILPITAS, CA 95035-5101
(408) 262-4434
(408) 945-7631
Mailing address
555 W BENJAMIN HOLT DR, BUILDING B, STOCKTON, CA 95207-3839
(209) 476-4700
(209) 478-6890
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22104
CA
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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