Individual
LAVERNE ALFRED-ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
635 EAST BASELINE ROAD, PHOENIX, AZ 85042-6551
(602) 243-7277
(602) 323-3299
Mailing address
2702 NORTH 3RD STREET, SUITE 4020, PHOENIX, AZ 85004-4608
(602) 323-3344
(602) 323-3496
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
B14826653
AZ
Other
Enumeration date
10/19/2011
Last updated
12/29/2011
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