# STEVENSON AND COHEN, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053697128
- **Authorized official:** MARK D STEVENSON DDS (SECRETARY)
- **Authorized official phone:** (707) 544-1764

## Contact information

- **Practice address:** 29 ROTARY WAY, VALLEJO, CA 94591-8475
- **Practice address phone:** (707) 554-1764
- **Mailing address:** 29 ROTARY WAY, VALLEJO, CA 94591-8475

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | CA | Yes |

## Other

- **Enumeration date:** 11/02/2011
- **Last updated:** 11/02/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1366540148 | ENDODONTIST | CA |
| 01 | — | 1396843181 | ENDODONTIST | CA |