Individual
ROGER DIMAGGIO ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
525 EASTER AVE, CAPITOL HEIGHTS, MD 20743
(301) 636-9684
(301) 636-9686
Mailing address
PO BOX 31097, 525 EASTER AVE, CAPITOL HEIGHTS, MD 20743
(301) 636-9684
(301) 636-9686
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
MD7498
MD
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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