Organization
VAN S. STEVENS, DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAN S. STEVENS DMD (PRESIDENT)
(908) 233-7711
Entity
Organization
Contact information
Practice address
213 SUMMIT RD, MOUNTAINSIDE, NJ 07092-2316
(908) 233-7711
(908) 233-0506
Mailing address
213 SUMMIT RD, MOUNTAINSIDE, NJ 07092-2316
(908) 233-7711
(908) 233-0506
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DI10062
NJ
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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