Organization
CELEBRATE DENTAL AND BRACES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN DARRELL STEWART D.D.S (GENERAL DENTIST)
(435) 650-6586
Entity
Organization
Contact information
Practice address
1625 RIO BRAVO BLVD SW, ALBUQUERQUE, NM 87105-6057
(505) 404-9381
Mailing address
1625 RIO BRAVO BLVD SW, ALBUQUERQUE, NM 87105-6057
(505) 404-9381
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD4334
NM
Other
Enumeration date
07/03/2015
Last updated
07/03/2015
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