Organization
SHAWANO FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA MARIE STEVENS D.D.S (OWNER)
(262) 865-7293
Entity
Organization
Contact information
Practice address
115 ALPINE CT, SHAWANO, WI 54166-2048
(715) 524-4935
Mailing address
115 ALPINE CT, SHAWANO, WI 54166-2048
(715) 524-4935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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