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Individual

DR. WALTON RAY ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
140 MAIN CROSS STREET, HAWESVILLE, KY 42348
(270) 927-6045
(270) 927-9341
Mailing address
PO BOX 248, HAWESVILLE, KY 42348-0248
(270) 927-6045
(270) 927-9341

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5538
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60055381
KY
Enumeration date
01/09/2007
Last updated
07/08/2007
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