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Organization
ROGER L. STUART
Active
Organization
ROGER L. STUART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER LELAND STUART D.D.S. (DENTIST/OWNER)
(360) 574-3985
Entity
Organization
Contact information
Practice address
14313 NE 20TH AVE, SUITE A-101, VANCOUVER, WA 98686-1487
(360) 574-3985
(360) 574-0452
Mailing address
14313 NE 20TH AVE, SUITE A-101, VANCOUVER, WA 98686-1487
(360) 574-3985
(360) 574-0452
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4261
WA
Other
Enumeration date
04/23/2010
Last updated
04/23/2010
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