Organization
STOUTE DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN STOUTE DDS (DENTIST/OWNER)
(410) 721-0900
Entity
Organization
Contact information
Practice address
2411 CROFTON LN #20 A, CROFTON, MD 21114-1336
(410) 721-0900
Mailing address
2411 CROFTON LN #20 A, CROFTON, MD 21114-1336
(410) 721-0900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13204
MD
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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