Organization
ALLEN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDON D. ALLEN LD (OWNER)
(425) 670-8670
Entity
Organization
Contact information
Practice address
6226 196TH ST SW, 2-B,1-B, LYNNWOOD, WA 98036-5959
(425) 670-8670
Mailing address
6226 196TH ST SW, 2-B,1-B, LYNNWOOD, WA 98036-5959
(425) 670-8670
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE00003007
WA
122400000X
Denturist
Primary
DN00000017
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5004858
—
WA
05
—
5038724
—
WA
05
—
5056213
—
WA
Enumeration date
11/26/2008
Last updated
11/26/2008
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