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DR. BROOKE TERRY AHLSTROM DMD, MPH

>> Dentist >> Dental Providers

Registrant NPI Number: 1952655375

Individual Registrant:
DR. BROOKE TERRY AHLSTROM DMD, MPH
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

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

Registration Information:
NPI: 1952655375
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y122300000XDental Providers
Dentist
AZD008480

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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