Individual
DR. VAN S STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
213 SUMMIT ROAD, MOUNTAINSIDE, NJ 07092
(908) 233-7711
(908) 233-0506
Mailing address
213 SUMMIT ROAD, MOUNTAINSIDE, NJ 07092-2316
(908) 233-7711
(908) 233-0506
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2678
NJ
Other
Enumeration date
08/21/2006
Last updated
12/08/2008
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