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Individual

JUBAL S STEWART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
12 BOLDUC AVE, FORT KENT, ME 04743-1602
(207) 834-3001
(207) 834-2412
Mailing address
12 BOLDUC AVE, FORT KENT, ME 04743-1602
(207) 834-3012
(207) 834-2412

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN4977
ME

Other

Enumeration date
06/09/2022
Last updated
06/09/2022
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