Individual
DR. EMILY MARIE STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
805 WATERBURY PARK DR, ELKHART, IN 46517-2390
(574) 293-9222
Mailing address
805 WATERBURY PARK DR, ELKHART, IN 46517-2390
(574) 293-9222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011619A
IN
Other
Enumeration date
06/05/2011
Last updated
06/05/2011
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