Organization
K STEWART 003, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALLAS BURNETT (OWNER)
(864) 415-0931
Entity
Organization
Contact information
Practice address
1242 PARKSIDE ACORN DRIVE, INMAN, SC 29349-8344
(864) 578-9366
Mailing address
230 N GROVE MEDICAL PARK DRIVE, SPARTANBURG, SC 29303
(864) 641-7998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/05/2021
Last updated
06/27/2023
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