Glen K Stephenson DMD Chartered
Glen K Stephenson DMD Chartered is a General Practice Dentistry in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
Practice location Address checks out
7480 Northview StBoise, ID 83704-7232
Phone: (208) 375-4041
Fax: (208) 375-0225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D3338 (ID) |
|---|
Record details
| NPI number | 1265692321 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Glen Stephenson — President · (208) 375-4041 |
| Other names | Prevention Dental |
| NPI enumerated | June 12, 2008 |
| Last updated in NPPES | June 12, 2008 |
| Mailing address | 7480 Northview St, Boise, ID 83704-7232 |
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