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Individual

DR. JEFFREY J AHLERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
14600 E 88TH ST N, OWASSO, OK 74055-4877
(918) 272-1444
(918) 272-6731
Mailing address
14600 E 88TH ST N, OWASSO, OK 74055-4877
(918) 272-1444
(918) 272-6731

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5006
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100080920*21
OK
Enumeration date
07/06/2006
Last updated
07/07/2008
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