Individual
BETHANY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5959 ROYAL LN, SUITE# 634-214, DALLAS, TX 75230-3856
(214) 368-4100
(214) 368-4102
Mailing address
5959 ROYAL LN, SUITE# 634-214, DALLAS, TX 75230-3856
(214) 368-4100
(214) 368-4102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1855364
MA
Other
Enumeration date
11/03/2010
Last updated
11/13/2013
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