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Individual

DR. IVAN JOSEPH AHLERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
14600 E 88TH PL N, OWASSO, OK 74055-4877
(918) 272-1444
Mailing address
612 SHADOWLAKE RD, NORMAN, OK 73071-6897
(918) 907-1253

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8014
OK

Other

Enumeration date
08/05/2025
Last updated
08/05/2025
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