Organization
PATRYCJA STEWART DENTAL CORP
Active
Other names
Patrycja Stewart Dental Corp
Organization subpart
No
Provider details
NPI number
Authorized official
PATRYCJA STEWART (DENTIST)
(619) 283-2191
Entity
Organization
Contact information
Practice address
6244 EL CAJON BLVD STE 6, SAN DIEGO, CA 92115-3918
(619) 583-2191
(619) 583-2192
Mailing address
6244 EL CAJON BLVD STE 6, SAN DIEGO, CA 92115-3918
(619) 583-2191
(619) 583-2192
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730427907
NA
CA
Enumeration date
07/17/2019
Last updated
07/17/2019
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