Individual
EMILY MARIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 PIONEER TRL, CHASKA, MN 55318-1167
(952) 361-6855
Mailing address
2510 BANTAS POINT LN, WAYZATA, MN 55391-2306
(952) 250-3698
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14050
MN
Other
Enumeration date
06/18/2018
Last updated
07/08/2019
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