SearchIdaho122300000X

Robert Stevens, D.M.D., P.A

NPI 1659717916 · on the registry since 2013 · sole proprietor

Practice

Address
10572 W Business Park Ln
Boise, ID 83709
Phone
(208) 375-5656
Fax
(208) 375-5928
Organisation at this address
Yoeli Park, Pllc
Robert O Stevens Dmd, Pa
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-05-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho