Individual
DR. MARK STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 NELSON AVE, MELBOURNE, FL 32935-6744
(321) 254-5232
(321) 254-7755
Mailing address
22 NELSON AVE, MELBOURNE, FL 32935-6744
(321) 254-5232
(321) 254-7755
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN10173
FL
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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