Individual
MICHAEL JAY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1813 W HARVARD AVENUE, SUITE 240, ROSEBURG, OR 97470
(541) 440-9175
(541) 673-1246
Mailing address
1813 W HARVARD AVENUE, SUITE 240, ROSEBURG, OR 97470
(541) 440-9175
(541) 673-1246
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D8752
OR
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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