Individual
HEATHER P RANTALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2222 E 5TH ST, SUPERIOR, WI 54880-3709
(715) 394-5411
(715) 392-5086
Mailing address
2222 E 5TH ST, SUPERIOR, WI 54880-3709
(715) 394-5411
(715) 392-5086
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1002945
WI
124Q00000X
Dental Hygienist
H10112
MN
Other
Enumeration date
01/17/2023
Last updated
01/29/2024
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