Individual
DR. ALLAN DALE PADBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
306 W WASHINGTON AVE, 202, JACKSON, MI 49201-2169
(517) 784-2700
Mailing address
306 W WASHINGTON AVE, 202, JACKSON, MI 49201-2169
(517) 784-2700
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901008869
MI
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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