| NPI | 1265574537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT WILLIAM STEWART Dentist And Owner 360-692-1134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00010586) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2013-09-11 |