Organization
MARY DISA ALLEN, DDS, PC
Active
Other names
Allen Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY DISA ALLEN DDS (PRESIDENT)
(540) 998-7843
Entity
Organization
Contact information
Practice address
6232 PETERS CREEK RD, ROANOKE, VA 24019-4026
(540) 362-3846
Mailing address
6232 PETERS CREEK RD, ROANOKE, VA 24019-4026
(540) 362-3846
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414341
VA
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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