Dr. Joseph R. Stout, Dds, Msd, LLC
NPI #1306109376 in Mount Vernon, Washington
Provider Information
- NPI Number
- 1306109376
- Entity Type
- Organization
- Organization Name
- Dr. Joseph R. Stout, Dds, Msd, LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jun 24, 2012
- Last Updated
- Jun 24, 2012
Practice Location
- Address
- 2210 KULSHAN VIEW DR
- City
- Mount Vernon
- State
- Washington
- ZIP Code
- 98273-2779
- Phone
- (360) 424-3811
Authorized Official
- Name
- JOSEPH STOUT
- Title
- DR.
- Phone
- (360) 424-3811
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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