Individual
JOHN EDWARD STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5642 S EASTERN AVE, #F, LAS VEGAS, NV 89119-2310
(702) 739-9999
(702) 739-0081
Mailing address
5642 S EASTERN AVE, #F, LAS VEGAS, NV 89119-2310
(702) 739-9999
(702) 739-0081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1223G0001X-2039
NV
1223G0001X
General Practice Dentistry
Primary
2039
NV
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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