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Organization
STOUT DENTAL CORPORATION
Active
Organization
STOUT DENTAL CORPORATION
Active
Other names
Missouri Flat Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL STOUT DDS (OWNER)
(530) 642-2876
Entity
Organization
Contact information
Practice address
3967 MISSOURI FLAT ROAD, SUITE 120, PLACERVILLE, CA 95667
(530) 642-2876
(530) 295-8168
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(949) 474-1495
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/13/2014
Last updated
02/04/2022
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