Individual
DR. STEWART D JUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3259 E SUNSHINE ST, SUITE CC, SPRINGFIELD, MO 65804-6919
(417) 881-5115
(417) 881-5180
Mailing address
3259 E SUNSHINE ST, CC, SPRINGFIELD, MO 65804-6919
(417) 881-5115
(417) 881-5180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15529
MO
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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