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Individual

DR. DAVID T ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
7007 OLD SAUK RD, SUITE 101, MADISON, WI 53717-2307
(608) 833-6112
Mailing address
7007 OLD SAUK RD, SUITE 101, MADISON, WI 53717-2307
(608) 833-6112

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5181-015
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33785900
WI
Enumeration date
05/30/2006
Last updated
11/23/2011
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