| NPI | 1386789873 |
|---|---|
| Doing Business As | DR. GEORGE STEVENS |
| Entity Type | Organization |
| Authorized Contact | GEORGE S STEVENS Owner 617-266-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MA 14929) |
| Additional Taxonomies | 122300000X Dentist (Licence: MA 21104) |
| 122300000X Dentist (Licence: MA 21544) | |
| 1223E0200X Dentist, Endodontics (Licence: MA 02072) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |