NPI 1285213090

Avery Ralston, LD

Practitioner Denturist Eugene, OR

Practice location

Address: 1241 Oak St, Eugene, OR 97401-3519
Phone: (541) 686-9897

Registered specialties

Denturist Primary

Dental Providers Taxonomy 122400000X Licence DT-DO-10190663 (OR)

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Registry record

NPI: 1285213090
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Apr 2021
Record last updated: 7 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.