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Individual

ALLEN BEE DEATON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
155 N SAWYER ST, OSHKOSH, WI 54902-5674
(920) 231-5780
Mailing address
1575 DEERFIELD DR, OSHKOSH, WI 54904-8277
(920) 426-2134

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
04193
OK
1223G0001X
General Practice Dentistry
Primary
5554-015
WI
1223G0001X
General Practice Dentistry
IL

Other

Enumeration date
03/03/2007
Last updated
07/08/2007
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