Individual
DR. GREGORY RAYMOND STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1393 S ALPINE RD, ROCKFORD, IL 61108-4069
(815) 397-5615
Mailing address
1393 S ALPINE RD, ROCKFORD, IL 61108-4069
(815) 397-5615
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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