Organization
PARADISE VALLEY ENDODONTIC GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE S ALLEN D.D.S.,M.S. (MEMBER)
(480) 483-9001
Entity
Organization
Contact information
Practice address
10585 N TATUM BLVD, D-132, PARADISE VALLEY, AZ 85253-1073
(480) 483-9001
Mailing address
10585 N TATUM BLVD, D-132, PARADISE VALLEY, AZ 85253-1073
(480) 483-9001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4952
AZ
Other
Enumeration date
12/12/2008
Last updated
12/12/2008
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