Individual
DR. SUSAN MARIE ALSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1117 E MAIN ST, #1, MEDFORD, OR 97504-7404
(541) 779-6401
(541) 608-6814
Mailing address
1117 E MAIN ST, #1, MEDFORD, OR 97504-7404
(541) 779-6401
(541) 608-6814
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5708
OR
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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