Individual
MS. DOVE RANTALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
1230 7TH AVE, LONGVIEW, WA 98632-3166
(503) 758-8511
Mailing address
7201 N INTERSTATE AVE, PORTLAND, OR 97217-5523
(503) 758-8511
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
D160212184
WA
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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