Individual
JEFFERY C.B. STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2730 SW MOODY AVE, SD-PATH, PORTLAND, OR 97201-5042
(503) 494-8904
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DF0006
OR
Other
Enumeration date
04/03/2006
Last updated
08/04/2014
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