CHAD B STEVENSON DDS PC
Ambulatory Health at Grand Ave, West Des Moines, IA

License number
Iowa 7330
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. CHAD B STEVENSON DDS
Title: PRESIDENT/OWNER/DENTIST
Phone: (515) 223-1940
Address
Address
1005 Grand Ave SUITE 200, West Des Moines, IA 50265
National Provider ID: 1285891176
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CHAD B. STEVENSON, D.D.S., PC

1005 Grand Ave SUITE 200, West Des Moines, IA

Doing business as:
GRAND DENTAL PC
Registration:
Dec 28, 1990
State ID:
147761
Business type:
C DOMESTIC PROFESSIONAL
Expiration:
PERPETUAL
Agent:
Chad B. Stevenson ,1005 Grand Ave #200, West Des Moines, IA (Physical)

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