Individual
DR. MICHAEL D ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1852 N MASTICK WAY, NOGALES, AZ 85621-1063
(520) 375-5032
(520) 761-2159
Mailing address
363 E VIA PUENTE DE LA LLUVIA, SAHUARITA, AZ 85629-8887
(520) 829-7776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7328
AZ
1223D0001X
Public Health Dentistry
D7328
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227533
—
AZ
Enumeration date
07/24/2007
Last updated
08/13/2007
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