Individual
DR. GARY L. STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1030 E WILLOW GROVE AVE, WYNDMOOR, PA 19038-7938
(215) 233-1700
(215) 233-1730
Mailing address
1030 E WILLOW GROVE AVE, WYNDMOOR, PA 19038-7938
(215) 233-1700
(215) 233-1730
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS025317L
PA
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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