NPI | 1083868806 |
---|---|
Doing Business As | KATHERINE F. STEWART, D.D.S. |
Entity Type | Organization |
Authorized Contact | JULIA REGINA PESAVENTO Owner 815-395-1711 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2008-11-06 |
Last Update Date | 2008-11-06 |