Individual
REBECCA MARIE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
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
1002281-15
WI
Other
Enumeration date
03/18/2020
Last updated
02/23/2022
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