Individual
LIEL ALLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9200 113TH ST, SEMINOLE, FL 33772-2800
(727) 394-6064
Mailing address
9200 113TH ST, SEMINOLE, FL 33772-2800
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
35923
TX
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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