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General NPI Number Information
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NPI Number | 1942468913
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Entity Type | Organization
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Legal Business Name | DEAN K. STEWART D.D.S., INC.
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Dates
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Enumeration Date | 05/27/2008
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Last Update Date | 05/27/2008
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Provider Practice Location Address
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Address Line | 361 E WHITTIER BLVD SUITE A
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City | LA HABRA
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State | CA
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Zip | 90631-3842
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Country | US
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Telephone | 562-691-0251
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Fax |
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Provider Business Mailing Address
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Address Line | 361 E WHITTIER BLVD SUITE A
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City | LA HABRA
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State | CA
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Zip | 90631-3842
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Country | US
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Telephone | 562-691-0251
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DEAN K. STEWART
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Credential | D.D.S.
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Telephone | 562-691-0251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 28245
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License Number State | CA
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