Individual
ANN ELIZABETH RALLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
E4707 HWY Y, VIROQUA, WI 54665
(608) 483-2044
Mailing address
E4707 HWY Y, VIROQUA, WI 54665
(608) 483-2044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6065-015
WI
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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