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1033376066
WADE F STEVENS
SALT LAKE CITY, UT
NPI
1033376066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: UT 67174419922)
Enumeration Date
2008-05-19
Last Update Date
2008-05-19
Business Address
Dr. WADE F STEVENS DDS
500 FOOTHILL DR
SALT LAKE CITY, UT 84148-0001
Phone number: 801-582-1565
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Mailing Address
Dr. WADE F STEVENS DDS
1073 BRYAN AVE
SALT LAKE CITY, UT 84105-2401
Phone number: 804-814-7083
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