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Individual

DR. CHARLES DAVIS ALLEN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
508 MCKAY ST., ELIZABETHTOWN, NC 28337-0235
(910) 862-4334
(910) 862-3813
Mailing address
PO BOX 235, 508 MCKAY ST, ELIZABETHTOWN, NC 28337-0235
(910) 862-4334
(910) 862-3813

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3762
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8990169
NC
Enumeration date
01/12/2007
Last updated
07/09/2007
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