Individual
IMANI ZHATAY ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
991 W HUDSON BLVD # 28052, GASTONIA, NC 28052-6430
(704) 853-5191
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14669
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
06/16/2026
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