Individual
DIANA CLAIRE STOUTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH, BSDH
Contact information
Practice address
1018 TUSCULUM BLVD, GREENEVILLE, TN 37745-4037
(423) 639-2176
Mailing address
1816 JONES BRIDGE RD APT 2, GREENEVILLE, TN 37743-8017
(504) 908-7407
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
10430
TN
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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