Individual
MR. NICHOLAS D ALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2831 E SOUTHERN AVE, #215, MESA, AZ 85204-5500
(618) 972-8464
Mailing address
3508 FAR WEST BLVD, 330, AUSTIN, TX 78731-3080
(512) 343-9488
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
30349
TX
Other
Enumeration date
04/11/2011
Last updated
05/20/2015
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