Individual
JASON L ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3707 WATSON RD, SAINT LOUIS, MO 63109-1236
(314) 645-6400
(314) 787-4321
Mailing address
3707 WATSON RD, SAINT LOUIS, MO 63109-1236
(314) 645-6400
(314) 787-4321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2006000782
MO
Other
Enumeration date
08/30/2006
Last updated
01/14/2021
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