Organization
STROUT ACQUISTIONS, LLC
Active
Other names
Advanced Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN STROUT D.M.D.,M.S. (OWNER/ DENTIST)
(904) 794-1824
Entity
Organization
Contact information
Practice address
1542 KINGSLEY AVE, SUITE 135, ORANGE PARK, FL 32073-4586
(904) 278-6980
(904) 278-5201
Mailing address
1542 KINGSLEY AVE, SUITE 135, ORANGE PARK, FL 32073-4586
(904) 278-6980
(904) 278-5201
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DN15749
FL
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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