STEPHEN ALLEN MODELEVSKY

JONESBORO, AR
NPI1477647089
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0106X Dentist, Oral and Maxillofacial Pathology
(Licence: AR  2302)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
-- STEPHEN ALLEN MODELEVSKY DDS
906 OSLER DRIVE
JONESBORO, AR 72401
Phone number: 870-972-8570
Mailing Address
-- STEPHEN ALLEN MODELEVSKY DDS
PO BOX 1920
JONESBORO, AR 72403
Phone number: 870-972-8570
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