Individual
DR. BRIAN STOUTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2411 CROFTON LN STE 20A, CROFTON, MD 21114-1336
(410) 721-0900
Mailing address
2411 CROFTON LN STE 20A, CROFTON, MD 21114-1336
(410) 721-0900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13204
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011377800
—
MD
Enumeration date
02/28/2007
Last updated
07/08/2007
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