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Organization
PATRYCJA STEWART DENTAL CORP
Active
Organization
PATRYCJA STEWART DENTAL CORP
Active
Other names
Patrycja Stewart Dental Corp
Organization subpart
No
Provider details
NPI number
Authorized official
PATRYCJA STEWART (DENTIST)
(619) 283-2191
Entity
Organization
Contact information
Practice address
6244 EL CAJON BLVD STE 6, SAN DIEGO, CA 92115-3918
(619) 583-2191
(619) 583-2192
Mailing address
6244 EL CAJON BLVD STE 6, SAN DIEGO, CA 92115-3918
(619) 583-2191
(619) 583-2192
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730427907
NA
CA
Enumeration date
07/17/2019
Last updated
07/17/2019
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