Individual
DR. CHARLES EDWARD STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2228 N DOWNING, ANGLETON, TX 77515
(979) 849-3521
(979) 848-2861
Mailing address
2228 N DOWNING RD, ANGLETON, TX 77515
(979) 849-3521
(979) 848-2861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
796715
UNITED CONCORDIA
TX
01
—
B1168501
CHIPS
TX
Enumeration date
04/18/2007
Last updated
07/08/2007
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