Individual
DR. JONATHAN GOOLD STROUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
46 MALLETT DR, FREEPORT, ME 04032-1313
(207) 865-3934
(207) 865-4590
Mailing address
PO BOX 276, BRUNSWICK, ME 04011-0276
(207) 729-7788
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2896
ME
Other
Enumeration date
04/22/2007
Last updated
07/08/2007
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