Allen, Robert Gerard

Allen, Robert Gerard is an sole proprietor health care provider with primary practice located at 101 Lynch Creek Way Ste B , Petaluma CA 94954-8301. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Allen, Robert Gerard can be contacted via phone (707) 769-1414.

Contact Information

Primary practice address
101 Lynch Creek Way Ste B Petaluma CA 94954-8301
Phone: (707) 769-1414
Fax: (707) 769-1317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 31015 California

Profile Details

NPI number 1356425979
LBN Legal business name Allen, Robert Gerard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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