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Organization

W. MICHAEL ALLEN DDS., MS. INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM MICHAEL ALLEN DDS, MS (ORTHODONTIST)
(760) 724-2722
Entity
Organization

Contact information

Practice address
4110 OCEANSIDE BLVD, SUITE 102, OCEANSIDE, CA 92056-6003
(760) 724-2722
(760) 940-9591
Mailing address
4110 OCEANSIDE BLVD, SUITE 102, OCEANSIDE, CA 92056-6003
(760) 724-2722
(760) 940-9591

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
50557
CA

Other

Enumeration date
06/28/2016
Last updated
06/28/2016
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