Individual
SAMUEL DOMINIC STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4780 CLAGUE RD, NORTH OLMSTED, OH 44070-3758
(440) 777-2757
(440) 777-4479
Mailing address
4780 CLAGUE RD, NORTH OLMSTED, OH 44070-3758
(440) 777-2757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.026672
OH
Other
Enumeration date
05/03/2021
Last updated
09/08/2022
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