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Individual

DR. STEVENSON SANDER SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
911 COUNTRY CLUB RD STE 222, EUGENE, OR 97401-6046
(541) 342-2477
Mailing address
911 COUNTRY CLUB RD STE 222, EUGENE, OR 97401-6046
(801) 885-7639

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9751
OR

Other

Enumeration date
07/31/2012
Last updated
07/31/2012
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