| NPI | 1144641697 |
|---|---|
| Former Name | CHAD MICHAEL ALLRED |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CA 63193) |
| Enumeration Date | 2014-01-01 |
| Last Update Date | 2023-03-07 |