Mary Disa Allen, Dds, PC

NPI #1144769837 in Roanoke, Virginia

Provider Information

NPI Number: 1144769837
Entity Type: Organization
Organization Name: Mary Disa Allen, Dds, PC
Primary Specialty: Dentist
Enumeration Date: Feb 15, 2017
Last Updated: Feb 15, 2017

Practice Location

Address: 6232 PETERS CREEK RD
City: Roanoke
State: Virginia
ZIP Code: 24019-4026
Phone: (540) 362-3846

Authorized Official

Name: DR. MARY DISA ALLEN, DDS
Title: PRESIDENT
Phone: (540) 998-7843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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