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Individual

ANDON DAN ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LD

Contact information

Practice address
6226 196TH ST SW, 2B, LYNNWOOD, WA 98036-5959
(425) 670-8670
(425) 670-0491
Mailing address
5527 6TH AVE NW, TULALIP, WA 98271-6531
(360) 657-3315
(425) 670-0491

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
00000017
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5038724
WA
Enumeration date
04/18/2007
Last updated
07/08/2007
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