Individual
ALISHA EPLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 BENNETT AVE, MEDFORD, OR 97504-6722
(458) 215-5806
Mailing address
720 BENNETT AVE, MEDFORD, OR 97504-6722
(458) 215-5806
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-TMP-10233658
OR
Other
Enumeration date
08/01/2023
Last updated
08/01/2023
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