Individual
DR. ALLEN TRENT VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
475 BRUCE ST, YREKA, CA 96097-3474
(530) 842-3507
Mailing address
479 RAVEN WAY, UNIT C, CHUBBUCK, ID 83202-1958
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4297
ID
Other
Enumeration date
06/10/2010
Last updated
03/29/2017
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