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Individual

DR. AMANDA ASHLEY ALLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1111 S POLLOCK ST, SELMA, NC 27576-2933
(919) 570-0180
Mailing address
1111 S POLLOCK ST, SELMA, NC 27576-2933
(919) 965-2552

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
8565
NC
1223P0221X
Pediatric Dentistry
Primary
8565
NC

Other

Enumeration date
06/25/2008
Last updated
05/03/2024
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