Individual
DR. MARKO STEVANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
335R PRAIRIE AVE, PROVIDENCE, RI 02905-0000
(401) 444-0430
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 467-6866
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN03152
RI
122300000X
Dentist
DN1855973
MA
Other
Enumeration date
06/04/2012
Last updated
08/21/2014
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