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DR. HEATHER ALLEN D.D.S.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1073608410

Individual Registrant:
DR. HEATHER  ALLEN D.D.S.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1234 S. HAIRSTON ROAD SUITE 23 STONE MOUNTAIN, GA 30088 US
Tel: 404-294-3600  Fax: 404-294-9880

Contact information for business:
1234 S. HAIRSTON ROAD SUITE 23 STONE MOUNTAIN, GA 30088 US
Tel: 404-294-3600  Fax: 404-294-9880

Registration Information:
NPI: 1073608410
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
GA10982

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00581215AGA05




HEALTH CARE JOBS GA - Page 1



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