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Individual

ALLISON NICOLE JAMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1172 NW PITTMAN PL UNIT 2, BEND, OR 97703-2295
(574) 520-9535
Mailing address
1172 NW PITTMAN PL UNIT 2, BEND, OR 97703-2295
(574) 520-9535

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
000011953
TN
1223G0001X
General Practice Dentistry
Primary
D11867
OR

Other

Enumeration date
02/06/2021
Last updated
04/08/2025
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