Individual
MATTHEW FREDERICK ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
565 COLONIAL PARK DR, SUITE 100, ROSWELL, GA 30075-3897
(770) 993-6666
Mailing address
565 COLONIAL PARK DR, SUITE 100, ROSWELL, GA 30075-3897
(770) 993-6666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014216
GA
Other
Enumeration date
04/29/2013
Last updated
11/06/2023
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