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Organization

CHARLES E STEWART DDS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES E. STEWART DDS (OWNER)
(979) 849-3521
Entity
Organization

Contact information

Practice address
2228 N DOWNING RD, ANGLETON, TX 77515-3710
(979) 849-3521
(979) 848-2861
Mailing address
2228 N DOWNING RD, ANGLETON, TX 77515-3710
(979) 849-3521
(979) 848-2861

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11685
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1043436702
TX
Enumeration date
03/29/2016
Last updated
03/29/2016
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