| NPI | 1518127141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY STEVENS, D.D.S., LLC Owner 573-445-9526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 016155) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2008-06-17 |