Individual
DAVID LAWRENCE ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4848 NE STALLINGS DR, SUITE 100, NACOGDOCHES, TX 75965-1239
(936) 564-5090
(936) 564-2999
Mailing address
4848 NE STALLINGS DR, SUITE 100, NACOGDOCHES, TX 75965-1239
(936) 564-5090
(936) 564-2999
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
14599
TX
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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