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Organization
CAMERON STEWART DDS LLC
Active
Organization
CAMERON STEWART DDS LLC
Active
Other names
Prosmiles Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMERON STEWART DDS (OWNER)
(509) 529-3470
Entity
Organization
Contact information
Practice address
860 S 2ND AVE, SUITE D, WALLA WALLA, WA 99362-4072
(509) 529-3470
(509) 529-3474
Mailing address
860 S 2ND AVE, SUITE D, WALLA WALLA, WA 99362-4072
(509) 529-3470
(509) 529-3474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00006438
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841387156
MEDICARE
—
01
—
50004
LABOR AND INDUSTRIES
—
05
—
5014667
—
WA
Enumeration date
08/30/2016
Last updated
01/02/2023
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