Individual
DR. ALICIA PETROS STOUTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3920 PYLE RD, CHADDS FORD, PA 19317-8934
(610) 459-2545
(610) 459-8876
Mailing address
3920 PYLE RD, CHADDS FORD, PA 19317-8934
(610) 459-2545
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS038640
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2008
Last updated
09/21/2022
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