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DR. MARVIN L ALLEN DDS

Oral and Maxillofacial Surgery >> Dentist >> Dental Providers

Registrant NPI Number: 1689763914

Individual Registrant:
DR. MARVIN L ALLEN DDS
Gender: M
Not Sole Proprietor

Location and contact information for practice:
316 FIFTH AVENUE  ALBANY, GA 31701 US
Tel: 229-883-1018  Fax: --

Contact information for business:
316 FIFTH AVENUE  ALBANY, GA 31701 US
Tel: 229-883-1018  Fax: --

Registration Information:
NPI: 1689763914
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
GA7277

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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