Individual
JENNIFER ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
495 W 4TH ST, DOVE CREEK, CO 81324-4900
(970) 677-3644
Mailing address
PO BOX 666, DOVE CREEK, CO 81324-0666
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH.002025566
CO
Other
Enumeration date
04/15/2020
Last updated
11/09/2020
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