Individual
MICHAEL LEE STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
700 S TORRENCE ST, SUITE 220, CHARLOTTE, NC 28204-2928
(704) 332-7737
(704) 332-3008
Mailing address
700 S. TORRENCE STREET, SUITE 220, CHARLOTTE, NC 28204-3077
(704) 332-7737
(704) 332-3008
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5337
NC
Other
Enumeration date
01/02/2007
Last updated
07/08/2007
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