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Organization
FREDRICK EDWIN STUART DDS, INC.
Active
Organization
FREDRICK EDWIN STUART DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA RODRIGUEZ (MANAGER)
(213) 842-0538
Entity
Organization
Contact information
Practice address
8781 VAN NUYS BLVD FL 2, PANORAMA CITY, CA 91402-2401
(818) 893-2716
(818) 994-4117
Mailing address
8781 VAN NUYS BLVD FL 2, PANORAMA CITY, CA 91402-2401
(818) 893-2716
(818) 994-4117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24875
CA
Other
Enumeration date
04/27/2010
Last updated
01/14/2011
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