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Organization
ALLEN PORTLAND DENTISTRY ASSOCIATES PLLC
Active
Organization
ALLEN PORTLAND DENTISTRY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES M. ALLEN JR. DDS, MS (OWNER)
(361) 854-7999
Entity
Organization
Contact information
Practice address
101 COX DR., PORTLAND, TX 78374
(361) 643-0416
(361) 643-3972
Mailing address
101 COX DR., PORTLAND, TX 78374
(361) 643-0416
(361) 643-3972
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0700X
Prosthodontics
—
—
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
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