Individual
DR. SHARON DENISE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
18875 W 12 MILE RD, LATHRUP VILLAGE, MI 48076-2558
(248) 443-4079
(248) 443-4467
Mailing address
18875 W 12 MILE RD, LATHRUP VILLAGE, MI 48076-2558
(248) 443-4079
(248) 443-4467
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1367890
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
1367995
MI
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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