Stirewalt, Charles E

Stirewalt, Charles E is an individual health care provider with primary practice located at 2932 Ballesteros Ln , Tustin CA 92782-1126. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Stirewalt, Charles E can be contacted via phone (714) 730-0872.

Contact Information

Primary practice address
2932 Ballesteros Ln Tustin CA 92782-1126
Phone: (714) 730-0872
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 32504 California

Profile Details

NPI number 1184679649
LBN Legal business name Stirewalt, Charles E
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184679649 NPPES
California MEDICAID D32504

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