Individual
DR. MICHAEL L. STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2200 E 4500 S, SUITE 250, SALT LAKE CITY, UT 84117-4437
(801) 278-5822
Mailing address
2200 E 4500 S, SUITE 250, SALT LAKE CITY, UT 84117-4437
(801) 278-5822
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5491
UT
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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