Individual
DR. KELTON STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
4456 N KEYSTONE AVE, INDIANAPOLIS, IN 46205-2251
(317) 545-5771
Mailing address
2352 N NEW JERSEY ST, INDIANAPOLIS, IN 46205-4338
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12011251A
IN
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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