Individual
DR. MARIAH ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1530 CENTENNIAL CT STE A, CASPER, WY 82609-7304
(307) 855-1258
Mailing address
2426 CENTENNIAL VILLAGE DR, CASPER, WY 82609-3398
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1616
WY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2021
Last updated
08/23/2022
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