Individual
DR. LANDON ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1971 MCCULLOCH BLVD N STE 100, LAKE HAVASU CITY, AZ 86403-6118
(928) 733-6070
Mailing address
1800 WALNUT DR, LAKE HAVASU CITY, AZ 86406-7511
(717) 466-4539
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011445
AZ
Other
Enumeration date
06/17/2022
Last updated
06/17/2022
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