Individual
LAURA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3200
Mailing address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3200
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE60106731
WA
Other
Enumeration date
07/26/2007
Last updated
08/14/2019
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