Organization
DR. WALTER L. STEWART DDS,PC
Active
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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