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Individual

CHARLES HILLAM STUART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
7211 N MESA ST STE 2, EL PASO, TX 79912-3611
(915) 581-3391
(915) 581-4825
Mailing address
6249 BRISA DEL MAR DR, EL PASO, TX 79912-1854
(915) 832-0592

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
22706
TX
1223E0200X
Endodontics
4789791-9921
UT

Other

Enumeration date
03/23/2006
Last updated
07/08/2007
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