Individual
DR. KASAN STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
11918 SUNRAY AVE, BATON ROUGE, LA 70816-5316
(225) 291-2111
(225) 291-2191
Mailing address
11918 SUNRAY AVE, BATON ROUGE, LA 70816-5316
(225) 291-2111
(225) 291-2191
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5372
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1853721
—
LA
Enumeration date
07/18/2006
Last updated
07/08/2007
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