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DR. MARVIN L ALLEN DDS
Oral and Maxillofacial Surgery >> Dentist >> Dental ProvidersRegistrant NPI Number: 1689763914
Individual Registrant:DR. MARVIN L ALLEN DDS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
316 FIFTH AVENUE ALBANY, GA 31701 US
Tel: 229-883-1018 Fax: --
Tel: 229-883-1018 Fax: --
Contact information for business:
316 FIFTH AVENUE ALBANY, GA 31701 US
Tel: 229-883-1018 Fax: --
Tel: 229-883-1018 Fax: --
Registration Information:
NPI: 1689763914
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223S0112X | Dental Providers Dentist Oral and Maxillofacial Surgery | GA | 7277 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
