Individual
DR. MICHAEL E ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1800 FORTINO BLVD UNIT 2, PUEBLO, CO 81008-1891
(719) 545-1400
Mailing address
3277 BRECKENRIDGE DR E, COLORADO SPRINGS, CO 80906-4538
(719) 494-9706
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00202827
CO
Other
Enumeration date
02/08/2016
Last updated
03/17/2018
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