NPI | 1740379148 |
---|---|
Other Name | MARVIN L ALLEN DDS |
Entity Type | Organization |
Authorized Contact | MARVIN L ALLEN President Corporation 229-883-1018 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA 7277) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2020-08-22 |