Organization
ALLEN ENDODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE SAVANNAH ALLEN D.D.S., M.S. (MANAGING MEMBER)
(602) 242-4745
Entity
Organization
Contact information
Practice address
6605 N 19TH AVE, SUITE B, PHOENIX, AZ 85015-1628
(602) 242-4745
(602) 246-4748
Mailing address
6605 N 19TH AVE, SUITE B, PHOENIX, AZ 85015-1628
(602) 242-4745
(602) 246-4748
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
4952
AZ
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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