Individual
DR. JASSEN ALLEN ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
466 HIGHWAY 67 S, DECATUR, AL 35603-6300
(256) 355-0199
Mailing address
466 HIGHWAY 67 S, DECATUR, AL 35603-6300
(256) 355-0199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5673
AL
Other
Enumeration date
07/08/2009
Last updated
06/23/2010
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