Individual
DR. CHARLES E STIREWALT
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2932 BALLESTEROS LN, TUSTIN, CA 92782-1126
(714) 730-0872
Mailing address
2932 BALLESTEROS LN, TUSTIN, CA 92782-1126
(714) 730-0872
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32504
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D32504
—
CA
Enumeration date
05/23/2006
Last updated
07/08/2007
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