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Individual

DR. JOHN ALLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
464 MONTAUK AVE, NEW LONDON, CT 06320-4606
(860) 443-3634
(860) 444-7861
Mailing address
464 MONTAUK AVE, NEW LONDON, CT 06320-4606
(860) 443-3634
(860) 444-7861

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6108
CT

Other

Enumeration date
10/28/2006
Last updated
07/08/2007
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