| Organization Name: | ALLEN DENTAL CORPORTATION |
| NPI Number: | 1104008721 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROSALINDA ALLEN (OWNER) |
| Mailing Address: | 3686 Riverside Dr Ste G Chino |
| State: | CA US |
| Postal Code: | 917102979 |
| Phone Number: | 9095911299 |
| Fax Number: | 9095915899 |
| NPI Enumeration Date: | 12/05/2007 |
| NPI Last Update Date: | 12/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QD0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Dental |
| Taxonomy Definition: | |