Individual
JOETTA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142A DANIELSON PIKE, FOSTER, RI 02825-1485
(401) 647-3702
(401) 647-5380
Mailing address
PO BOX 312, PASCOAG, RI 02859-0312
(401) 567-0800
(401) 567-0900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
11260
CT
1223G0001X
General Practice Dentistry
Primary
DEN03267
RI
Other
Enumeration date
08/11/2014
Last updated
05/18/2015
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