Organization
JASON L ALLEN DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA N PAGE (PRACTICE MANAGER)
(314) 776-7800
Entity
Organization
Contact information
Practice address
5147 DAGGETT AVE, SAINT LOUIS, MO 63110-3009
(314) 776-7800
Mailing address
5147 DAGGETT AVE, SAINT LOUIS, MO 63110-3009
(314) 776-7800
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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