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Organization
MARY DISA ALLEN, DDS, PC
Active
Organization
MARY DISA ALLEN, DDS, PC
Active
Other names
Allen Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY DISA ALLEN DDS (PRESIDENT)
(540) 998-7843
Entity
Organization
Contact information
Practice address
6232 PETERS CREEK RD, ROANOKE, VA 24019-4026
(540) 362-3846
Mailing address
6232 PETERS CREEK RD, ROANOKE, VA 24019-4026
(540) 362-3846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414341
VA
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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