Provider Demographics
NPI:1396854923
Name:ALLAN, CHERYL (DDS)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:ALLAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 EL CERRO BLVD
Mailing Address - Street 2:STE D
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526
Mailing Address - Country:US
Mailing Address - Phone:925-837-7277
Mailing Address - Fax:925-831-1876
Practice Address - Street 1:300 EL CERRO BLVD
Practice Address - Street 2:STE D
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526
Practice Address - Country:US
Practice Address - Phone:925-837-7277
Practice Address - Fax:925-831-1876
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA420271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice