Individual
DR. ALLAN THOMSON BACON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1329 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3157
(301) 791-0333
(301) 791-0337
Mailing address
1329 PENNSYLVANIA AVE, HAGERSTOWN, MD 21742-3157
(301) 791-0333
(301) 791-0337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15161
MD
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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