Organization
HARRIS & ALLEN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT T ALLEN (OWNER)
(208) 529-4500
Entity
Organization
Contact information
Practice address
3815 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7591
(208) 529-4500
Mailing address
3815 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7591
(208) 529-4500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D1641
ID
1223G0001X
General Practice Dentistry
Primary
D4152
ID
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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