Individual
GREGG ALAN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
13275 W COLONIAL DR, WINTER GARDEN, FL 34787-3984
(407) 905-8827
(407) 654-4582
Mailing address
110 S WOODLAND ST, WINTER GARDEN, FL 34787-3546
(407) 905-8827
(407) 654-4528
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN10172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073306700
—
FL
Enumeration date
07/29/2005
Last updated
03/21/2014
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