Michael Jay Allen DDS

NPI 1689851636 - Dentist - 1223E0200X

NPI Details
NPI 1689851636
Gender Male
Enumeration Date 01/22/2008
Last Updated 01/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1813 W HARVARD AVENUE
SUITE 240
ROSEBURG OR, 97470, US
Phone (541) 440-9175
Fax (541) 673-1246
Business Location
1813 W HARVARD AVENUE
SUITE 240
ROSEBURG OR, 97470, US
Phone (541) 440-9175
Fax (541) 673-1246
Toxanomy
Taxonomy Code 1223E0200X
License State Oregon
License Number D8752
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According to our database, Michael Jay Allen DDS NPI is 1689851636, taxonomy code is 1223E0200X and license number is D8752, license state is located at Oregon. Michael Jay Allen DDS physically located at 1813 W Harvard Avenue, Roseburg OR, 97470. NPI Number Michael Jay Allen DDS has the Individual type.

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1689851636 NPI number is provided on an as is basis without warranty of any kind. 1689851636 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Jay Allen DDS are for informational purposes only.