Individual
MRS. ALVIN H. L. AHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1201 NE 7TH ST, SUITE E, GRANTS PASS, OR 97526-1451
(541) 479-6356
Mailing address
5713 FISH HATCHERY RD, GRANTS PASS, OR 97527-9591
(541) 472-9354
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H3579
OR
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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