Individual
MARK CURTIS STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
JD DDS DENTIST ATTOR
Contact information
Practice address
460 2ND AVE, SUITE 8B, NEW YORK, NY 10016
(212) 385-4666
Mailing address
PO BOX 495, NEW YORK, NY 10159
(212) 679-2472
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
033102DENTIST
NY
Other
Enumeration date
02/23/2007
Last updated
12/01/2011
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