NPI | 1083487094 |
---|---|
Doing Business As | DR MARK STEPHENSON DDS PC |
Entity Type | Organization |
Authorized Contact | MARK W STEPHENSON President 936-760-2200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-11-01 |
Last Update Date | 2024-09-21 |