MICHAEL D STEVENS

BOISE, ID
NPI1699004085
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-4632)
Enumeration Date2009-12-14
Last Update Date2016-07-06
Business Address
-- MICHAEL D STEVENS DMD
8744 W FAIRVIEW AVE
BOISE, ID 83704-8207
Phone number: 208-893-5000
Mailing Address
-- MICHAEL D STEVENS DMD
8744W FAIRVIEW AVE
BOISE, ID 83704-8207
Phone number: 208-893-5000