Individual
MS. RANAE M STINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, ADT
Contact information
Practice address
605 HILLCREST AVE STE 210, OWATONNA, MN 55060-3680
(507) 451-5844
Mailing address
605 HILLCREST AVE STE 210, OWATONNA, MN 55060-3680
(507) 451-5844
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
857
MT
124Q00000X
Dental Hygienist
H6057
MN
125K00000X
Advanced Practice Dental Therapist
Primary
DT46
MN
Other
Enumeration date
07/31/2008
Last updated
08/29/2024
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