Individual
DANDRIC ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2580 W CAMP WISDOM RD, STE. 300, GRAND PRAIRIE, TX 75052-3088
(972) 522-0784
Mailing address
2580 W CAMP WISDOM RD, STE. 300, GRAND PRAIRIE, TX 75052-3088
(972) 522-0784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22250
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1734675-11
—
TX
Enumeration date
10/02/2006
Last updated
01/25/2012
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