Individual
MEG AHLSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1906 NORTH ST, PRAIRIE DU SAC, WI 53578-1148
(608) 644-0504
Mailing address
1906 NORTH ST, PRAIRIE DU SAC, WI 53578-1148
(608) 644-0504
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
11279-16
WI
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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