Individual
DR. ALLEN BRYAN QUEEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1601 BRENNER AVE, VA DENTAL SERVICE, SALISBURY, NC 28144-2515
(704) 638-3373
(704) 638-3304
Mailing address
113 S HIDDENBROOKE DR, ADVANCE, NC 27006-7298
(336) 998-4160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5326
NC
Other
Enumeration date
03/22/2006
Last updated
07/08/2007
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