Allan W, Stevenson DDS PC

NPI #1760531214 in Parma, Idaho

Provider Information

NPI Number: 1760531214
Entity Type: Organization
Organization Name: Allan W, Stevenson DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 10, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 206 GROVE AVE
City: Parma
State: Idaho
ZIP Code: 83660
Phone: (208) 722-6400

Authorized Official

Name: ALLAN WALKER STEVENSON, DDS
Title: PRESIDENT
Phone: (208) 722-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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