Organization
STIREWALT PC
Active
Other names
BRIGHTNOW DENTAL MAPLE VALLEY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES STIREWALT DDS (PRESIDENT)
(714) 428-2000
Entity
Organization
Contact information
Practice address
24040 SE KENT KANGLEY RD, SUITE E200, MAPLE VALLEY, WA 98038
(714) 428-2000
Mailing address
24040 SE KENT KANGLEY RD, SUITE E200, MAPLE VALLEY, WA 98038
(714) 428-2000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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