Individual
DR. C DAVID STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
716 W MAIN ST, CENTRALIA, WA 98531-2847
(360) 736-0795
Mailing address
1962 TROSPER RD SW, APT# O-202, TUMWATER, WA 98512-8134
(360) 736-0795
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60106801
WA
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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