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Individual
DR. JAMIE ALLEN WARREN
Active
Individual
DR. JAMIE ALLEN WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8142
KY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8142
KY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
44040
KY
Other
Enumeration date
02/13/2007
Last updated
08/07/2018
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