DR. Susan Marie Alston, D.M.D.

NPI #1083715452 in Medford, Oregon

Provider Information

NPI Number
1083715452
Entity Type
Individual
Name
DR. Susan Marie Alston, D.M.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.M.D.
Enumeration Date
Sep 26, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1117 E MAIN ST
Address 2
#1
State
Oregon
ZIP Code
97504-7404
Phone
(541) 779-6401

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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