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Organization
ALLEN AND HANSEN DENTISTRY PARTNERSHIP
Active
Organization
ALLEN AND HANSEN DENTISTRY PARTNERSHIP
Active
Other names
Shepherd Mall Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JAY ALLEN DDS (PARTNEER)
(405) 844-6100
Entity
Organization
Contact information
Practice address
2401 NW 23RD ST, OKLAHOMA CITY, OK 73107-2442
(405) 942-0337
Mailing address
519 S SANTA FE AVE, EDMOND, OK 73003-6281
(405) 844-6100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4333
OK
Other
Enumeration date
02/06/2018
Last updated
06/16/2018
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