Individual
DR. ALISE STEWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
320 N CARROLLTON AVENUE SUITE 103, NEW ORLEANS, LA 70119-6017
(504) 289-7314
Mailing address
PO BOX 850013, NEW ORLEANS, LA 70185-0013
(504) 289-7314
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4590
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1845906
—
LA
Enumeration date
02/13/2007
Last updated
10/09/2012
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