Individual
DR. CHAD RYAN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2246 S STATE ROUTE 157 STE 125, GLEN CARBON, IL 62034-1728
(618) 288-6262
Mailing address
2246 S STATE ROUTE 157 STE 125, GLEN CARBON, IL 62034-1728
(618) 288-6262
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.028959
IL
122300000X
Dentist
Primary
2004019268
MO
Other
Enumeration date
07/18/2008
Last updated
05/31/2012
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