Individual
DR. KENNETH WILLIAM STOUT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
716 BETHLEHEM PIKE, ERDENHEIM, PA 19038-8102
(215) 233-0206
(215) 233-4752
Mailing address
716 BETHLEHEM PIKE, ERDENHEIM, PA 19038-8102
(215) 233-0206
(215) 233-4752
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS016553L
PA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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