| NPI | 1003430570 |
|---|---|
| Doing Business As | ALLEN DENTAL,PLLC |
| Entity Type | Organization |
| Authorized Contact | MARTHA A COOPER Financial Coordinator 907-947-7193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-16 |