| Stevenson And Cohen, A Professional Corporation | |
|
29 Rotary Way Vallejo CA 94591-8475 | |
| (707) 554-1764 | |
| Not Available |
| Full Name | Stevenson And Cohen, A Professional Corporation |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 29 Rotary Way, Vallejo, California |
| Authorized Official Name and Position | Mark D Stevenson (SECRETARY) |
| Authorized Official Contact | 7075441764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stevenson And Cohen, A Professional Corporation 29 Rotary Way Vallejo CA 94591-8475 Ph: () - | Stevenson And Cohen, A Professional Corporation 29 Rotary Way Vallejo CA 94591-8475 Ph: (707) 554-1764 |
| NPI Number | 1053697128 |
|---|---|
| Provider Enumeration Date | 11/02/2011 |
| Last Update Date | 11/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053697128 | NPI | - | NPPES |
| 1396843181 | Other | CA | ENDODONTIST |
| 1366540148 | Other | CA | ENDODONTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (California) | Primary |
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