Individual
MICHAEL AHLBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1808 W BROADWAY AVE, SULPHUR, OK 73086-4246
(801) 636-8716
Mailing address
4802 LAKE SHORE DR, ARDMORE, OK 73401-6440
(580) 622-6655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7028
OK
Other
Enumeration date
05/25/2018
Last updated
04/19/2019
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