Individual
RONALD K. ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.,M.S.D.
Contact information
Practice address
9524 E. WASHINGTON STREET, INDIANAPOLIS, IN 46229-3031
(317) 898-2311
(317) 869-0106
Mailing address
9524 E. WASHINGTON STREET, INDIANAPOLIS, IN 46229-3031
(317) 898-2311
(317) 869-0106
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
12008248
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200454310A
—
IN
Enumeration date
10/13/2006
Last updated
10/14/2015
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