Individual
MRS. TINA LOUISE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH, BS
Contact information
Practice address
10016 E 67TH ST, RAYTOWN, MO 64133-5219
(816) 737-3400
Mailing address
PO BOX 9511, RAYTOWN, MO 64133-0311
(816) 358-4728
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
003096
MO
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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