Individual
DR. CARLOS STEWART ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3801 150TH AVE SE, BELLEVUE, WA 98006-1668
(425) 998-5980
(425) 998-5975
Mailing address
1144 SONOMA AVE STE 107, SANTA ROSA, CA 95405-4812
(707) 695-5540
(707) 549-5533
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
CA-32676
CA
122300000X
Dentist
Primary
DE60600830
WA
1223G0001X
General Practice Dentistry
DE60600830
WA
Other
Enumeration date
09/06/2012
Last updated
02/03/2025
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