Individual
DR. JOSEPH RYAN STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
651 SE MAYLOR ST, OAK HARBOR, WA 98277-5413
(206) 427-2514
Mailing address
PO BOX 282, COUPEVILLE, WA 98239-0282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DR 60168161
WA
1223P0221X
Pediatric Dentistry
Primary
DE60292936
WA
Other
Enumeration date
07/28/2010
Last updated
06/21/2012
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