David J Allen, D.D.S, M.S Valid NPI

Individual provider · Orthodontics and Dentofacial Orthopedics Dentistry · Wheaton, IL

NPI

1194724963

Type

Individual (Type 1)

Primary specialty

Orthodontics and Dentofacial Orthopedics Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223X0400X

License number

19-017752 (IL)

Sex

Male

Sole proprietor

Yes

Enumerated

2005-07-14

Last updated

2007-07-08