Individual
KRISTIN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5873 N STATE ROAD 135, GREENWOOD, IN 46143-5616
(317) 548-2627
(317) 548-2305
Mailing address
6920 PARKDALE PL STE 111, INDIANAPOLIS, IN 46254-5604
(317) 329-7170
(317) 329-7372
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011445A
IN
Other
Enumeration date
07/05/2010
Last updated
06/03/2020
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