Provider Demographics
NPI:1972707313
Name:STUART, CLAUDETTE ROSARIO (DDS)
Entity type:Individual
Prefix:DR
First Name:CLAUDETTE
Middle Name:ROSARIO
Last Name:STUART
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3902 DIAMOND GROVE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77059-3713
Mailing Address - Country:US
Mailing Address - Phone:281-286-0224
Mailing Address - Fax:
Practice Address - Street 1:3111 WOODRIDGE DR
Practice Address - Street 2:SUITE # 715
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-2558
Practice Address - Country:US
Practice Address - Phone:713-641-1010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15371122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist