Individual
DR. GORDON EDGAR STUART
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6182 HOWDERSHELL RD, HAZELWOOD, MO 63042-1170
(314) 731-2666
(314) 731-2666
Mailing address
6182 HOWDERSHELL RD, HAZELWOOD, MO 63042-1170
(314) 731-2666
(314) 731-2666
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012939
MO
Other
Enumeration date
10/04/2005
Last updated
07/08/2007
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