Individual
ALLEN UDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
18 E 50TH ST FL 8, NEW YORK, NY 10022-9110
(212) 759-3883
Mailing address
2070 E 29TH ST, BROOKLYN, NY 11229-5050
(718) 891-2721
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
45775
NY
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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