Individual
MRS. AMBER MARIE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
712 FT CROOK RD N, BELLEVUE, NE 68005
(402) 733-6066
(402) 733-0899
Mailing address
712 FT CROOK RD N, BELLEVUE, NE 68005
(402) 733-6066
(402) 733-0899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6594
NE
1223G0001X
General Practice Dentistry
D6267
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025204800
—
NE
Enumeration date
02/14/2006
Last updated
07/08/2007
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