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Individual

DR. GENE FRANKLIN STOUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2400 HARBOR BLVD., SUITE 11, PORT CHARLOTTE, FL 33952
(941) 743-4545
(941) 743-4545
Mailing address
2400 HARBOR BLVD., SUITE 11, PORT CHARLOTTE, FL 33952
(941) 743-4545
(941) 743-4545

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8279
FL

Other

Enumeration date
06/17/2009
Last updated
06/17/2009
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