Individual
DR. COREY LEE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 W CEDAR AVE, GLADWIN, MI 48624-2020
(989) 426-6341
(989) 426-6411
Mailing address
200 W. CEDAR AVE, GLADWIN, MI 48624
(989) 426-6341
(989) 426-6411
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019185
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4867549
—
MI
Enumeration date
10/12/2006
Last updated
07/08/2007
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