Individual
BRIAN KEITH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2105 S TAMIAMI TRAIL, OSPREY, FL 34229
(941) 966-4751
(941) 966-1995
Mailing address
2105 S TAMIAMI TRAIL, OSPREY, FL 34229
(941) 966-4751
(941) 966-1995
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN9396
FL
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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