Dove Rantala, RDA
Dental Assistant in Longview, WA. Individual provider (NPI-1).
NPI number1700548294
StatusActive
Last updated in NPPESOct 12, 2021
Details
- NPI
- 1700548294
- Entity type
- Individual (NPI-1)
- Name
- Ms. Dove Rantala
- Credential
- RDA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 12, 2021
- Certification date
- Oct 12, 2021
- Last updated
- Oct 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 126800000X | Dental Assistant | D160212184 | WA | Yes |
Practice location
1230 7th AveLongview, WA 98632-3166
Phone 503-758-8511
Mailing address
7201 N Interstate AvePortland, OR 97217-5523
Phone 503-758-8511
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