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Organization
DENTAL CENTER OF SAN MIGUEL
Active
Organization
DENTAL CENTER OF SAN MIGUEL
Active
Parent organization
FREDERICK EDWIN STUART
Organization subpart
Yes
Provider details
NPI number
Legal business name
FREDERICK EDWIN STUART
Authorized official
DR. FREDERICK EDWIN STUART D.D.S. (PROVIDER/OWNER)
(818) 892-2649
Entity
Organization
Contact information
Practice address
8781 VAN NUYS BLVD, 2ND FLR., PANORAMA CITY, CA 91402-2401
(818) 892-2649
Mailing address
8781 VAN NUYS BLVD, 2ND FLR., PANORAMA CITY, CA 91402-2401
(818) 892-2649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24875
CA
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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