Individual
RICHARD M. STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
5422 W THUNDERBIRD RD, SUITE 20, GLENDALE, AZ 85306-4717
(602) 439-1400
(602) 439-1600
Mailing address
4991 HAYRIDE ST, LAS VEGAS, NV 89149-4760
(702) 326-1793
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D008320
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
S3-42
NV
Other
Enumeration date
06/07/2007
Last updated
09/22/2011
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