Organization
LRDJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIAN STEWART D.D.S (ORTHODONTIST/CEO)
(301) 674-8761
Entity
Organization
Contact information
Practice address
790 HUFF RD NW APT 4055, ATLANTA, GA 30318-4373
(301) 674-8761
Mailing address
60 CARRIAGE OAKS DR, TYRONE, GA 30290-1684
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DN014757
GA
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
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