Individual
MATTHEW WOOD STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1600 THORPE RD, LAS CRUCES, NM 88012-9776
(575) 382-9291
Mailing address
PO BOX 370, HATCH, NM 87937-0370
(575) 267-3280
(575) 267-1747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD5064
NM
122300000X
Dentist
DT-2699
HI
Other
Enumeration date
06/27/2017
Last updated
06/03/2019
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