GLEN K STEPHENSON

BOISE, ID
NPI1467480863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D3338)
Enumeration Date2006-06-28
Last Update Date2007-07-09
Business Address
Dr. GLEN K STEPHENSON D.M.D.
7480 NORTHVIEW ST
BOISE, ID 83704-7232
Phone number: 208-375-4041
Mailing Address
Dr. GLEN K STEPHENSON D.M.D.
7480 NORTHVIEW ST
BOISE, ID 83704-7232
Phone number: 208-375-4041
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