Individual
MR. DANIES CHARLES STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9170 RTE 108, SUITE 200, COLUMBIA, MD 21045-1987
(410) 730-6460
(410) 730-1092
Mailing address
9170 RTE 108, SUITE 200, COLUMBIA, MD 21045-1987
(410) 730-6460
(410) 730-1092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10441
MD
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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