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Individual

ALLEN DEAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
4550 EUBANK BLVD NE, SUITE 203, ALBUQUERQUE, NM 87111-3479
(505) 292-2323
(505) 292-2352
Mailing address
4550 EUBANK BLVD NE, SUITE 203, ALBUQUERQUE, NM 87111-3479
(505) 292-2323
(505) 292-2352

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1195
NM

Other

Enumeration date
11/08/2005
Last updated
07/09/2007
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