| NPI | 1730669292 |
|---|---|
| Doing Business As | STEVENS DENTAL |
| Entity Type | Organization |
| Authorized Contact | JASON HAMMER Owner/Docter 208-466-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |