| Roger L. Stuart | |
|
14313 Ne 20th Ave Suite A-101 Vancouver WA 98686-1487 | |
| (360) 574-3985 | |
| (360) 574-0452 |
| Full Name | Roger L. Stuart |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 14313 Ne 20th Ave, Vancouver, Washington |
| Authorized Official Name and Position | Roger Leland Stuart (DENTIST/OWNER) |
| Authorized Official Contact | 3605743985 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger L. Stuart 14313 Ne 20th Ave Suite A-101 Vancouver WA 98686-1487 Ph: (360) 574-3985 | Roger L. Stuart 14313 Ne 20th Ave Suite A-101 Vancouver WA 98686-1487 Ph: (360) 574-3985 |
| NPI Number | 1811214307 |
|---|---|
| Provider Enumeration Date | 04/23/2010 |
| Last Update Date | 04/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811214307 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4261 (Washington) | Primary |
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