Individual
DENICE C STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2730 SW MOODY AVENUE, PORTLAND, OR 97201-5042
(503) 494-8867
Mailing address
1810 SW PENDLETON ST, PORTLAND, OR 97239-2050
(503) 293-2035
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DF0005
OR
Other
Enumeration date
10/26/2006
Last updated
07/16/2014
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