| David A Allen Dds | |
|
1059 Royal Ave Medford OR 97504-6127 | |
| (541) 779-8694 | |
| (541) 779-8694 |
| Full Name | David A Allen Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1059 Royal Ave, Medford, Oregon |
| Authorized Official Name and Position | David A Allen (OWNER) |
| Authorized Official Contact | 5417798694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David A Allen Dds Po Box 3000 Salem OR 97302-8001 Ph: (800) 544-2345 | David A Allen Dds 1059 Royal Ave Medford OR 97504-6127 Ph: (541) 779-8694 |
| NPI Number | 1104478619 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 07/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104478619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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