Organization · Type 2 NPI
David A Allen DDS
Dental Clinic/Center · Medford, OR
NPI number
1104478619
Active
Practice location
1059 Royal Ave
Medford, OR 97504-6127
Fax (541) 779-8694
Mailing address
PO Box 3000
Salem, OR 97302-8001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1104478619
David A Allen DDS's National Provider Identifier is 1104478619, issued on Jul 15, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Medford, OR. The record was last updated on Jul 15, 2019.