Organization
STEPHEN A. FOLSON, DDS MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN A FOLSON DDS (PRESIDENT)
(623) 977-4279
Entity
Organization
Contact information
Practice address
13260 N 94TH DR, SUITE 410, PEORIA, AZ 85381-4828
(623) 977-4279
(623) 977-8787
Mailing address
13260 N 94TH DR, SUITE 410, PEORIA, AZ 85381-4828
(623) 977-4279
(623) 977-8787
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
AZ2728
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720282338
NPI - TYPE 1 FOR INDIVIDUALS
AZ
Enumeration date
05/06/2009
Last updated
05/06/2009
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