NPI | 1457760746 |
---|---|
Doing Business As | DR. JASON M.STEVENS, D.M.D. |
Entity Type | Organization |
Authorized Contact | JASON MICHEAL STEVENS Owner / Dentist 770-445-1081 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: GA DN012439) |
Enumeration Date | 2014-08-12 |
Last Update Date | 2014-08-12 |