Individual
DR. ROOSEVELT ALLEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4175 S ALAMO AVE, DAVIS MONTHAN A F B, AZ 85707-6097
(520) 228-2654
Mailing address
13857 E CANYON FAIRWAY TRL, VAIL, AZ 85641-6464
(757) 876-3082
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
LNO 4138
AL
1223G0001X
General Practice Dentistry
Primary
—
DE
Other
Enumeration date
01/23/2006
Last updated
09/11/2025
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