Individual
DR. CORY TAYLOR ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2675 BRICKSIDE LANE, SUITE 100, MT PLEASANT, SC 29466
(843) 216-7488
(843) 216-7489
Mailing address
2675 BRICKSIDE LANE, SUITE 100, MT PLEASANT, SC 29466
(843) 216-7488
(843) 216-7489
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4635
SC
1223G0001X
General Practice Dentistry
Primary
4635
SC
1223G0001X
General Practice Dentistry
8223
KY
Other
Enumeration date
05/16/2006
Last updated
02/15/2010
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