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Individual

DR. MARK VAN ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
9480 BRIAR VILLAGE POINT, SUITE 300, COLORADO SPRINGS, CO 80920
(719) 534-9445
Mailing address
9480 BRIAR VILLAGE POINT, SUITE 300, COLORADO SPRINGS, CO 80920
(719) 534-9445

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
7145
CO

Other

Enumeration date
05/01/2007
Last updated
07/08/2007
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