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Organization

MICHAEL J ALLEN DDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALLEN J ALLEN DDS (OWNER)
(541) 440-9175
Entity
Organization

Contact information

Practice address
1813 W HARVARD AVE, STE #240, ROSEBURG, OR 97470-2752
(541) 440-9175
(541) 673-1246
Mailing address
1813 W HARVARD AVE, STE #240, ROSEBURG, OR 97470-2752
(541) 440-9175
(541) 673-1246

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D8752
OR

Other

Enumeration date
03/31/2008
Last updated
03/31/2008
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