Individual
BRYAN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1625 RIO BRAVO BLVD SW, SUITE 33, ALBUQUERQUE, NM 87105-6057
(505) 431-6779
(505) 212-0789
Mailing address
1625 RIO BRAVO BLVD SW, SUITE 33, ALBUQUERQUE, NM 87105-6057
(505) 431-6779
(505) 212-0789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4334
NM
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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