Stuart Dental LLC

NPI #1023379633 in Walla Walla, Washington

Provider Information

NPI Number: 1023379633
Entity Type: Organization
Organization Name: Stuart Dental LLC
Primary Specialty: Dentist
Enumeration Date: May 31, 2012
Last Updated: May 31, 2012

Practice Location

Address: 1545 BUSINESS ONE CIR
City: Walla Walla
State: Washington
ZIP Code: 99362-9526
Phone: (509) 525-4662

Authorized Official

Name: MARCY BOLSTER
Title: OFFICE COORDINATOR
Phone: (509) 525-4662

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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