Organization
JEAN C STOUT DDS AND ASSOCIATES PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEARL O LAVERNE (OFFICE MANAGER)
(713) 947-8228
Entity
Organization
Contact information
Practice address
2907 STRAWBERRY RD, PASADENA, TX 77502-5214
(713) 947-8228
Mailing address
2907 STRAWBERRY RD, PASADENA, TX 77502-5214
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12508
TX
Other
Enumeration date
04/09/2014
Last updated
04/09/2014
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