Individual
DR. ALEXANDER ALLEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
8340 S ASHLAND AVE, CHICAGO, IL 60620-4606
(773) 233-4330
(773) 233-3046
Mailing address
8340 S ASHLAND AVE, CHICAGO, IL 60620-4606
(773) 233-4330
(773) 233-3046
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019020144
IL
1223G0001X
General Practice Dentistry
Primary
019020144
IL
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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