Roger L. Stuart

NPI #1811214307 in Vancouver, Washington

Provider Information

NPI Number
1811214307
Entity Type
Organization
Organization Name
Roger L. Stuart
Primary Specialty
Dentist - General Practice
Enumeration Date
Apr 23, 2010
Last Updated
Apr 23, 2010

Practice Location

Address
14313 NE 20TH AVE
Address 2
SUITE A-101
ZIP Code
98686-1487
Phone
(360) 574-3985

Authorized Official

Name
DR. ROGER LELAND STUART, D.D.S.
Title
DENTIST/OWNER
Phone
(360) 574-3985

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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