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DR. JOHN ALLEN D.M.D.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1891871273

Individual Registrant:
DR. JOHN  ALLEN D.M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
464 MONTAUK AVE  NEW LONDON, CT 06320-4606 US
Tel: 860-443-3634  Fax: 860-444-7861

Contact information for business:
464 MONTAUK AVE  NEW LONDON, CT 06320-4606 US
Tel: 860-443-3634  Fax: 860-444-7861

Registration Information:
NPI: 1891871273
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
CT6108

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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