Individual
DR. THOMAS LEE RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1202 S MAIN ST, BURLINGTON, IA 52601
(319) 752-7033
(319) 752-0293
Mailing address
1202 S MAIN ST, BURLINGTON, IA 52601
(319) 752-7033
(319) 752-0293
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
05973
IA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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