Stoute Dental PC
Dentist, General Practice in Crofton, MD. Organization (NPI-2).
NPI number1578747671
StatusActive
Last updated in NPPESDec 26, 2007
Details
- NPI
- 1578747671
- Entity type
- Organization (NPI-2)
- Legal business name
- Stoute Dental PC
- Organization subpart
- No
- Enumeration date
- Dec 26, 2007
- Last updated
- Dec 26, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 13204 | MD | Yes |
Practice location
2411 Crofton Ln #20 ACrofton, MD 21114-1336
Phone 410-721-0900
Mailing address
2411 Crofton Ln #20 ACrofton, MD 21114-1336
Phone 410-721-0900
Authorized official
Brian Stoute
Dentist/Owner
4107210900
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