Organization
DR. DAN STEVENS FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL STEVENS DDS (OWNER, DENTIST)
(920) 387-2640
Entity
Organization
Contact information
Practice address
105 BRIDGE ST, MAYVILLE, WI 53050-1635
(920) 387-2640
Mailing address
105 BRIDGE ST, MAYVILLE, WI 53050-1635
(920) 387-2640
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1001098-15
WI
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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