Individual
PATRINA ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
825 BATTLEFIELD BLVD S, CHESAPEAKE, VA 23322-6607
(757) 482-2876
Mailing address
100 HEALTH CENTER DR, AHOSKIE, NC 27910-8161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418751
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2023
Last updated
06/17/2024
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