Individual
MS. ALLYSON ISENHOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1405 S HANLEY RD UNIT 100, SAINT LOUIS, MO 63144-2902
(314) 862-2006
Mailing address
1457 LINDEN LN, TRENTON, IL 62293-2832
(618) 978-7852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2023026137
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Enumeration date
06/01/2023
Last updated
07/05/2023
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