Individual
CASSANDRA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
540 THORNTON RD, LITHIA SPRINGS, GA 30122
(770) 745-5886
Mailing address
540 THORNTON RD, LITHIA SPRINGS, GA 30122-1591
(770) 745-5886
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN015446
GA
1223P0221X
Pediatric Dentistry
Primary
DN015446
GA
Other
Enumeration date
05/16/2016
Last updated
07/31/2018
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