Individual
ALLEN SARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
3150 CLEARWATER DR, PRESCOTT, AZ 86305-7131
(928) 445-7051
Mailing address
3150 CLEARWATER DR, PRESCOTT, AZ 86305-7131
(928) 445-7051
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D012329
AZ
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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