Individual provider · NPI-1

Dr. Robert Glen Allen, D.D.S.

Dentist, General Practice · Rockwall, TX

NPI number1902013618
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1902013618
Entity type
Individual (NPI-1)
Name
Dr. Robert Glen Allen
Credential
D.D.S.
Sex
Male
Sole proprietor
No
Enumeration date
May 16, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice14457TXYes

Practice location

406 W Rusk St
Rockwall, TX 75087-3630

Phone 972-771-2221 · Fax 972-722-2221

Mailing address

406 W Rusk St
Rockwall, TX 75087-3630

Phone 972-771-2221 · Fax 972-722-2221

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