Theron A. Stout, DDS a Professional Dental Corporation
NPI #1174951727 in Atascadero, California
Provider Information
- NPI Number
- 1174951727
- Entity Type
- Organization
- Organization Name
- Theron A. Stout, DDS a Professional Dental Corporation
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Oct 17, 2013
- Last Updated
- Oct 18, 2022
Practice Location
- Address
- 8310 MORRO RD.
- City
- Atascadero
- State
- California
- ZIP Code
- 93422-3927
- Phone
- (805) 464-2723
Authorized Official
- Name
- MR. THERON ANDREW STOUT, DDS
- Title
- PRESIDENT/PEDIATRIC DENTIST
- Phone
- (805) 464-2723
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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