Individual
CHARLES STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1700 W CHARLESTON BLVD, LAS VEGAS, NV 89102-2335
(530) 913-3525
Mailing address
633D MEDICAL GROUP, 77 NEALY AVENUE, HAMPTON, VA 23665-1057
(530) 913-3525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8172
NV
Other
Enumeration date
04/09/2025
Last updated
08/05/2025
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