Organization
ALLEN I PEARSON DDS PA
Active
Other names
Childrens Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN I PEARSON DDS (OWNER)
(972) 429-7070
Entity
Organization
Contact information
Practice address
520 W BROWN ST, #B, WYLIE, TX 75098
(972) 429-7070
(972) 429-7071
Mailing address
520 W BROWN ST, #B, WYLIE, TX 75098
(972) 429-7070
(972) 429-7071
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
21036
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1554016-03
—
TX
Enumeration date
08/17/2006
Last updated
12/26/2011
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