Individual
DR. ALLEN T SHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1001 SHADOW LN STE 257, LAS VEGAS, NV 89106-4124
(702) 774-2636
Mailing address
11856 SAVERIO AVE, LAS VEGAS, NV 89138-4674
(626) 898-2423
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
LL-457-17
NV
1223G0001X
General Practice Dentistry
Primary
LL-523.20
NV
Other
Enumeration date
07/12/2010
Last updated
06/15/2020
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