Organization
CAMERON STEWART DDS LLC
Active
Other names
Prosmiles Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAMERON STEWART DDS (OWNER)
(509) 529-3470
Entity
Organization
Contact information
Practice address
860 S 2ND AVE, SUITE D, WALLA WALLA, WA 99362-4072
(509) 529-3470
(509) 529-3474
Mailing address
860 S 2ND AVE, SUITE D, WALLA WALLA, WA 99362-4072
(509) 529-3470
(509) 529-3474
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
00006438
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841387156
MEDICARE
—
01
—
50004
LABOR AND INDUSTRIES
—
05
—
5014667
—
WA
Enumeration date
08/30/2016
Last updated
01/02/2023
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