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1659439776
MICHAEL ALLEN PARK
LONGMONT, CO
NPI
1659439776
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: CO 8204)
Enumeration Date
2006-12-04
Last Update Date
2007-07-08
Business Address
DR. MICHAEL ALLEN PARK DDS
541 MAIN ST
LONGMONT, CO 80501-5536
Phone number: 303-776-3030
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Mailing Address
DR. MICHAEL ALLEN PARK DDS
541 MAIN ST
LONGMONT, CO 80501-5536
Phone number: 303-776-3030
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