Individual
DR. HEATHER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1234 S. HAIRSTON ROAD, SUITE 23, STONE MOUNTAIN, GA 30088
(404) 294-3600
(404) 294-9880
Mailing address
1234 S. HAIRSTON ROAD, SUITE 23, STONE MOUNTAIN, GA 30088
(404) 294-3600
(404) 294-9880
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10982
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00581215A
—
GA
Enumeration date
10/03/2006
Last updated
07/08/2007
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