Pretlow Lee Stevenson JR. DDS

NPI 1003834466 - Dentist - 122300000X

NPI Details
NPI 1003834466
Gender Male
Enumeration Date 07/17/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3412 COLUMBIA ST
PORTSMOUTH VA, 23707, US
Phone (757) 397-5611
Fax (757) 397-5573
Business Location
3412 COLUMBIA ST
PORTSMOUTH VA, 23707, US
Phone (757) 397-5611
Fax (757) 397-5573
Toxanomy
Taxonomy Code 122300000X
License State Virginia
License Number 5195
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According to our database, Dr. Pretlow Lee Stevenson JR. DDS NPI is 1003834466, taxonomy code is 122300000X and license number is 5195, license state is located at Virginia. Pretlow Lee Stevenson JR. DDS physically located at 3412 Columbia St, Portsmouth VA, 23707. NPI Number Pretlow Lee Stevenson JR. DDS has the Individual type.

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1003834466 NPI number is provided on an as is basis without warranty of any kind. 1003834466 is maintained by the National Plan & Provider Enumeration System. The contents of Pretlow Lee Stevenson JR. DDS are for informational purposes only.