Stevens, Timothy

Stevens, Timothy is an sole proprietor health care provider with primary practice located at 1745 S Imperial Ave Ste 107 , El Centro CA 92243-4243. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Stevens, Timothy can be contacted via phone (760) 353-7603.

Contact Information

Primary practice address
1745 S Imperial Ave Ste 107 El Centro CA 92243-4243
Phone: (760) 353-7603
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 59721 California

Profile Details

NPI number 1164416731
LBN Legal business name Stevens, Timothy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2005
Last updated Jun 28th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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