Organization
KASAN STEVENS-HANSBERRY DDS LLC
Active
Other names
Stevens Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KASAN STEVENS DDS (OWNER)
(225) 291-2111
Entity
Organization
Contact information
Practice address
11918 SUNRAY AVE, BATON ROUGE, LA 70816-5316
(225) 291-2111
Mailing address
11918 SUNRAY AVE, BATON ROUGE, LA 70816-5316
(225) 291-2111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/15/2013
Last updated
01/09/2023
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