Grant Skousen Allen

NPI #1508394297 in Rio Rancho, New Mexico

Provider Information

NPI Number: 1508394297
Entity Type: Individual
Name: Grant Skousen Allen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: May 25, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 4041 RIDGE ROCK RD SE
City: Rio Rancho
State: New Mexico
ZIP Code: 87124-7626
Phone: (505) 891-4510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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