| NPI | 1265085443 |
|---|---|
| Former Legal Business Name | PATRYCJA STEWART DENTAL CORP |
| Entity Type | Organization |
| Authorized Contact | PATRYCJA STEWART Dentist 619-283-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2019-07-17 |