Organization
ALLRED DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY GLEN ALLRED DDS (OWNER)
(760) 304-6455
Entity
Organization
Contact information
Practice address
955 BOARDWALK STE 201, SAN MARCOS, CA 92078-2659
(760) 304-6455
(760) 290-3608
Mailing address
955 BOARDWALK STE 201, SAN MARCOS, CA 92078-2659
(760) 304-6455
(760) 290-3608
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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