| Fredrick Edwin Stuart Dds, Inc. | |
|
8781 Van Nuys Blvd Fl 2 Panorama City CA 91402-2401 | |
| (818) 893-2716 | |
| (818) 994-4117 |
| Full Name | Fredrick Edwin Stuart Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8781 Van Nuys Blvd Fl 2, Panorama City, California |
| Authorized Official Name and Position | Diana Rodriguez (MANAGER) |
| Authorized Official Contact | 2138420538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredrick Edwin Stuart Dds, Inc. 8781 Van Nuys Blvd Fl 2 Panorama City CA 91402-2401 Ph: (818) 893-2716 | Fredrick Edwin Stuart Dds, Inc. 8781 Van Nuys Blvd Fl 2 Panorama City CA 91402-2401 Ph: (818) 893-2716 |
| NPI Number | 1477870665 |
|---|---|
| Provider Enumeration Date | 04/27/2010 |
| Last Update Date | 01/14/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477870665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 24875 (California) | Primary |
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