Organization
ALLEN FAMILY DENTISTRY, LLC
Active
Other names
Allen Dental Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAYDEN PARK ALLEN DDS (LLC MANAGER)
(727) 937-5159
Entity
Organization
Contact information
Practice address
138 COUNTRY CLUB CT, TARPON SPRINGS, FL 34689-3704
(727) 937-5159
(727) 937-5109
Mailing address
138 COUNTRY CLUB CT, TARPON SPRINGS, FL 34689-3704
(727) 937-5159
(727) 937-5109
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
14250
FL
122300000X
Dentist
17222
FL
122300000X
Dentist
Primary
5617
FL
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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