Organization
BIRTH STEWART ORAL SURGERY FT WORTH
Active
Organization
BIRTH STEWART ORAL SURGERY FT WORTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES STEWART DDS (ORTHODONTIST)
(817) 370-0268
Entity
Organization
Contact information
Practice address
3060 SYCAMORE SCHOOL RD, FORT WORTH, TX 76133-7771
(817) 370-0268
(817) 263-9217
Mailing address
PO BOX 330874, FORT WORTH, TX 76163-0874
(817) 370-0268
(817) 263-9217
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
11736
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
19486
TX
Other
Enumeration date
08/06/2013
Last updated
11/08/2013
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