Allen Dental Group LLC

NPI #1124365622 in Eagle River, Alaska

Provider Information

NPI Number: 1124365622
Entity Type: Organization
Organization Name: Allen Dental Group LLC
Primary Specialty: Dentist
Enumeration Date: Jan 4, 2013
Last Updated: Jan 4, 2013

Practice Location

Address: 17101 SNOWMOBILE LN
Address 2: SUITE 107
City: Eagle River
State: Alaska
ZIP Code: 99577-7043
Phone: (907) 622-6233

Authorized Official

Name: DR. BRADFORD C. ALLEN, DDS
Title: OWNER/MEMBER
Phone: (907) 622-6233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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