Individual
SCOTT T ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3815 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7591
(208) 529-4500
(208) 524-6248
Mailing address
3815 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7591
(208) 529-4500
(208) 524-6248
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4152
ID
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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