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Individual

DR. EDMOND J ALLISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1527 SE 16TH PL, CAPE CORAL, FL 33990-6845
(239) 772-5005
(239) 772-4929
Mailing address
1527 SE 16TH PL, CAPE CORAL, FL 33990-6845
(239) 772-5005
(239) 772-4929

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN0011550
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1528281755
NPI ORGANIZATION NUMBER
FL
Enumeration date
07/09/2013
Last updated
07/09/2013
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