Individual
DR. ALEX DALE EHRLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3001 6TH ST, PROFESSIONAL AFFAIRS COORDINATOR NAVAL HOSPITAL, GREAT LAKES, IL 60088-2833
(847) 688-5647
(847) 688-4279
Mailing address
3001 6TH ST, PROFESSIONAL AFFAIRS COORDINATOR NAVAL HOSPITAL, GREAT LAKES, IL 60088-2833
(847) 688-5647
(847) 688-4279
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12007771A
IN
Other
Enumeration date
02/03/2006
Last updated
07/08/2007
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