Most Relevant Information
Provider Data
| NPI Number: | 1003464009 |
| Provider Name: | JACOB MILLER ALLEN DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 35696 |
Most Important Dates
| Enumeration Date: | 09/03/2019 |
| Last Updated: | 03/15/2023 |
Provider Practice Location
930 COUNTY ROAD 2360
MINEOLA
TX
757733211
Practice Location Phone/Fax
| Phone: | 9034414121 |
| Fax: |
Provider Mailing Location
930 COUNTY ROAD 2360
MINEOLA
TX
757733211
Provider Mailing Phone/Fax
| Phone: | 9034414121 |
| Fax: |