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1528357803
MARK DERRICK ALLEN
ROCKWALL, TX
NPI
1528357803
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TX 16321)
Enumeration Date
2011-04-07
Last Update Date
2022-01-13
Business Address
Mr. MARK DERRICK ALLEN DDS MS
2861 RIDGE RD
ROCKWALL, TX 75032
Phone number: 972-772-2500
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Mailing Address
Mr. MARK DERRICK ALLEN DDS MS
2861 RIDGE RD
ROCKWALL, TX 75032
Phone number: 972-772-2500
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