Individual
DR. THOMAS R. AHLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6355
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS025283L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001279759
—
PA
Enumeration date
02/14/2006
Last updated
08/11/2020
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