NPI 1295280022

Marcus Allen, RDH

Practitioner Dental Hygienist West Bloomfield, MI

Practice location

Address: 33060 Northwestern Hwy Suite 200, West Bloomfield, MI 48322-3693
Phone: (313) 444-0778
Mailing address: 5334 W Mount Hope Hwy, Lansing, MI 48917-9563

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 2902013398 (MI)

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Registry record

NPI: 1295280022
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2016
Record last updated: 22 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.