Individual
DR. BENJAMIN E ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
6545 FRANCE AVE S, #381, EDINA, MN 55435-2131
(612) 232-4888
Mailing address
6545 FRANCE AVE S, #381, EDINA, MN 55435-2131
(612) 232-4888
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D11882
MN
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
49648
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
647671600
—
MN
Enumeration date
02/22/2006
Last updated
03/28/2017
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