Organization
AHL AND O'CONNOR ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE AHL DMD (OWNER / PRESIDENT)
(302) 678-3000
Entity
Organization
Contact information
Practice address
1004 S STATE ST, SUITE #3, DOVER, DE 19901-6925
(302) 678-3000
(302) 526-2634
Mailing address
1004 S STATE ST, SUITE #3, DOVER, DE 19901-6925
(302) 678-3000
(302) 526-2634
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2012102541
DE
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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