Organization
DR. WALTER L. STEWART DDS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER LORANDAL STEWART DDS, PC (ORTHODONTIST)
(706) 882-7711
Entity
Organization
Contact information
Practice address
208 S GREENWOOD ST, LAGRANGE, GA 30240-3120
(706) 882-7711
(706) 882-7713
Mailing address
208 S GREENWOOD ST, LAGRANGE, GA 30240-3120
(706) 882-7711
(706) 882-7713
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN007648
GA
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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