Organization
ALLEN FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORY TAYLOR ALLEN DMD (OWNER)
(843) 216-7488
Entity
Organization
Contact information
Practice address
2675 BRICKSIDE LANE, SUITE 100, MT. PLEASANT, SC 29466
(843) 216-7488
Mailing address
2675 BRICKSIDE LANE, SUITE 100, MT. PLEASANT, SC 29466
(843) 216-7488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4635
SC
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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