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Individual

DR. GARY WAYNE ALLEN

Active
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Individual

DR. GARY WAYNE ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0401008461
VA
122300000X
Dentist
DE00008439
WA
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
4806
OR

Other

Enumeration date
08/19/2006
Last updated
07/21/2022
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