Individual
DR. RYAN BLAINE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2251 N 400 E, NORTH OGDEN, UT 84414-7210
(801) 782-9544
Mailing address
2251 N 400 E, NORTH OGDEN, UT 84414-7210
(801) 782-9544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8029238-8903
UT
1223G0001X
General Practice Dentistry
Primary
8029238-9922
UT
Other
Enumeration date
08/16/2011
Last updated
04/01/2015
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