Individual
MRS. LAURIE MITCHELL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH,BH
Contact information
Practice address
3140 CLEARWATER DR, PRESCOTT, AZ 86305-7131
(928) 445-5959
(928) 445-5989
Mailing address
3140 CLEARWATER DR, PRESCOTT, AZ 86305-7131
(928) 445-5959
(928) 445-5989
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
5363
AZ
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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