Stephen J Awe, DDS Valid NPI

Individual provider · Periodontics · Fort Sam Houston, TX

NPI

1629030846

Type

Individual (Type 1)

Primary specialty

Periodontics (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223P0300X

License number

0401005789 (VA)

Sex

Male

Sole proprietor

No

Enumerated

2006-04-04

Last updated

2007-07-08