Allan W, Stevenson Dds Pc | |
206 Grove Ave Parma ID 83660 | |
(208) 722-6400 | |
(208) 722-9016 |
Full Name | Allan W, Stevenson Dds Pc |
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Speciality | Dentist - General Practice |
Location | 206 Grove Ave, Parma, Idaho |
Authorized Official Name and Position | Allan Walker Stevenson (PRESIDENT) |
Authorized Official Contact | 2087226400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Allan W, Stevenson Dds Pc 206 Grove Ave Po Box 420 Parma ID 83660 Ph: (208) 722-6400 | Allan W, Stevenson Dds Pc 206 Grove Ave Parma ID 83660 Ph: (208) 722-6400 |
NPI Number | 1760531214 |
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Provider Enumeration Date | 01/10/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1760531214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D3204 (Idaho) | Primary |