Michael Allen Stevener, DDS Valid NPI

Individual provider · General Practice Dentistry · Raymond, NH

NPI

1154534915

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

1390 (NH)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-05-08

Last updated

2007-07-08