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Individual

DR. ALLEN GENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
27 RAMPART DR, CHESTERBROOK, PA 19087-5843
(312) 320-1908
Mailing address
27 RAMPART DR, CHESTERBROOK, PA 19087-5843
(312) 320-1908

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10634
CT
1223G0001X
General Practice Dentistry
Primary
DS040208
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004236346
CT
Enumeration date
06/30/2011
Last updated
11/12/2014
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