Organization
DR. THOMAS J. ALLEN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS JAMES ALLEN DDS (CEO)
(210) 602-9831
Entity
Organization
Contact information
Practice address
4020 S 700 E, SUITE 4, SALT LAKE CITY, UT 84107-2186
(801) 266-4352
Mailing address
PO BOX 982902, PARK CITY, UT 84098-2902
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9332582-9921
UT
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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