Individual
DR. THOMAS JOHN ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
Mailing address
3008 E. BIRCH AVE, TUBA CITY, AZ 86045-0600
(928) 283-2501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9496
OR
Other
Enumeration date
09/09/2010
Last updated
06/06/2011
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