NPI 1215210984

Laurie Mitchell Allen, RDHBH

Practitioner Dental Hygienist Prescott, AZ

Practice location

Address: 3140 Clearwater Dr, Prescott, AZ 86305-7131
Phone: (928) 445-5959
Fax: (928) 445-5989

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 5363 (AZ)

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Registry record

NPI: 1215210984
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Sep 2011
Record last updated: 20 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.