Individual
DR. ALLEN FRIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
227 MADISON ST, NEW YORK, NY 10002-7537
(212) 238-7507
Mailing address
2555 E 12TH ST APT 6G, BROOKLYN, NY 11235-5032
(718) 676-7517
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
036740
NY
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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