Organization
DR. JOSEPH R. STOUT, DDS, MSD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH STOUT (DR.)
(360) 424-3811
Entity
Organization
Contact information
Practice address
2210 KULSHAN VIEW DR, MOUNT VERNON, WA 98273-2779
(360) 424-3811
Mailing address
2210 KULSHAN VIEW DR, MOUNT VERNON, WA 98273-2779
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DE60292936
WA
Other
Enumeration date
06/24/2012
Last updated
06/24/2012
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