Jonathan A Stuart, DDS Valid NPI

Individual provider · General Practice Dentistry · Ontario, CA

NPI

1043749062

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

DE60774794 (WA)

Sex

Male

Sole proprietor

No

Enumerated

2017-06-05

Last updated

2018-10-18