Individual
RONALD FORREST TRIBBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
90 NW GLENHART, WINSTON, OR 97496
(541) 679-4179
(541) 679-1402
Mailing address
PO BOX 1239, WINSTON, OR 97496-1239
(541) 679-4179
(541) 679-1402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6528
OR
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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