NPI | 1962636647 |
---|---|
Other Name | HANK ALLEN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AL D.0005472) |
Enumeration Date | 2009-05-08 |
Last Update Date | 2009-05-08 |