| NPI | 1912785395 |
|---|---|
| Doing Business As | STEWART FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LAURI HENDERSON Administrative Assistant 180-489-7360 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-04-10 |