Individual
MR. JACK M ALLARA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5710 AIRPORT RD NW, ROANOKE, VA 24012
(540) 362-3047
(540) 362-8058
Mailing address
5710 AIRPORT RD NW, ROANOKE, VA 24012
(540) 362-3047
(540) 362-8058
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
VA6315
VA
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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