Organization
DUNLAP DENTAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R STEWART DDS (PRESIDENT)
(574) 875-6595
Entity
Organization
Contact information
Practice address
3700 E MISHAWAKA RD, SUITE 1, ELKHART, IN 46517-3550
(574) 875-6595
Mailing address
3700 E MISHAWAKA RD, SUITE 1, ELKHART, IN 46517-3550
(574) 875-6595
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54001077A
IN
Other
Enumeration date
05/24/2007
Last updated
09/18/2007
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