Organization
CHARLES STEWART MANAGEMENT COMPANY,LLC
Active
Other names
Stewart Orthodontics,INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES DANIEL STEWART D.D.S. (MANAGING MEMBER)
(817) 346-6679
Entity
Organization
Contact information
Practice address
1429 CLEAR LAKE RD, SUITE 300, WEATHERFORD, TX 76086-5895
(817) 341-2777
(817) 594-7099
Mailing address
1429 CLEAR LAKE RD, SUITE 300, WEATHERFORD, TX 76086-5895
(817) 341-2777
(817) 594-7099
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11736
TX
Other
Enumeration date
09/27/2007
Last updated
02/08/2012
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