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DR. BROOKE TERRY AHLSTROM DMD, MPH
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1952655375
Individual Registrant:DR. BROOKE TERRY AHLSTROM DMD, MPH
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
H100 SANTA MARGARITA ROAD ATTENTION: CODE 00QM NAVAL HOSPITAL CAMP PENDLETON CAMP PENDLETON, CA 92055-5191 US
Tel: 760-725-1200 Fax: 760-725-1559
Tel: 760-725-1200 Fax: 760-725-1559
Contact information for business:
H100 SANTA MARGARITA ROAD ATTENTION: CODE 00QM NAVAL HOSPITAL CAMP PENDLETON CAMP PENDLETON, CA 92055-5191 US
Tel: 760-725-1200 Fax: 760-725-1559
Tel: 760-725-1200 Fax: 760-725-1559
Registration Information:
NPI: 1952655375
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | AZ | D008480 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
