Individual
DR. JEFFREY PAUL ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
929 S ALPINE RD, STE #407, ROCKFORD, IL 61108-3990
(815) 398-6545
(815) 398-6541
Mailing address
929 S ALPINE RD, STE #407, ROCKFORD, IL 61108-3990
(815) 398-6545
(815) 398-6541
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19A15951
IL
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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