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Individual
DR. MICHAEL DENNIS ALLEN
Active
Individual
DR. MICHAEL DENNIS ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
3829
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720282700
NPI - TYPE 2
—
Enumeration date
09/06/2008
Last updated
09/06/2008
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