Organization
CLINTON D. STEVENS, DDS, INC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON DRAKE STEVENS D.D.S. (PRESIDENT)
(918) 587-1303
Entity
Organization
Contact information
Practice address
15 W 6TH ST, SUITE 1615, TULSA, OK 74119-5415
(918) 587-1303
(918) 587-6360
Mailing address
15 W 6TH ST, SUITE 1615, TULSA, OK 74119-5415
(918) 587-1303
(918) 587-6360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5979
OK
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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