Most Relevant Information
Provider Data
| NPI Number: | 1003035437 |
| Provider Name: | STEPHEN VANN D.D.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 2624 |
Most Important Dates
| Enumeration Date: | 04/24/2007 |
| Last Updated: | 11/25/2009 |
Provider Practice Location
1113 S. SIGNAL BUTTE RD STE 101
MESA
AZ
85208
Practice Location Phone/Fax
| Phone: | 4809868013 |
| Fax: |
Provider Mailing Location
1113 S. SIGNAL BUTTE RD STE 101
MESA
AZ
85208
Provider Mailing Phone/Fax
| Phone: | 4809868013 |
| Fax: |