Individual
DR. MARK R STEVENSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6505 E 82ND ST, INDIANAPOLIS, IN 46250-5538
(317) 849-6990
(317) 579-1404
Mailing address
6505 E 82ND ST, INDIANAPOLIS, IN 46250-1598
(317) 849-6990
(317) 579-1404
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010073A
IN
Other
Enumeration date
05/22/2006
Last updated
07/08/2007
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