Individual
TONYA RENEE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3838 N RURAL ST, INDIANAPOLIS, IN 46205-2930
(317) 221-2306
(317) 221-2336
Mailing address
7586 TROPHY CLUB DR N, INDIANAPOLIS, IN 46214-4051
(317) 388-1757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12009696A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200131330
—
IN
Enumeration date
08/29/2006
Last updated
07/08/2007
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