Individual
KATIMARIE RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
115 NE MAY LN, MCMINNVILLE, OR 97128-9272
(503) 883-4075
(503) 883-4764
Mailing address
PO BOX 6149, BEAVERTON, OR 97007-0149
(503) 352-8657
(503) 352-8658
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10832
OR
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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