Individual
DR. STEPHEN PAUL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1407 GARFIELD AVE, HARLAN, IA 51537-1822
(712) 755-3466
Mailing address
1407 GARFIELD AVE, HARLAN, IA 51537-1822
(712) 755-3466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6549
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170437
—
IA
Enumeration date
10/31/2005
Last updated
07/10/2008
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