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Individual

DR. CARL BRAXTON STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
291 RENNER PKWY STE C, RICHARDSON, TX 75080-1342
(972) 238-9691
(972) 238-9778
Mailing address
291 RENNER PKWY STE C, RICHARDSON, TX 75080-1342
(972) 238-9691
(972) 238-9778

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
8726
TX

Other

Enumeration date
03/26/2007
Last updated
07/08/2007
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