Individual
CATHLEEN HELEN TAPP STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
18601 VALLEY BOULEVARD, BLOOMINGTON, CA 92316
(909) 746-0840
(909) 877-5468
Mailing address
18601 VALLEY BOULEVARD, BLOOMINGTON, CA 92316
(909) 877-1818
(909) 746-0400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33379
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9805401
DELTA DENTAL
CA
Enumeration date
09/02/2006
Last updated
07/08/2007
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