Theron Andrew Stout, DDS

NPI #1417173980 in Atascadero, California

Provider Information

NPI Number
1417173980
Entity Type
Individual
Name
Theron Andrew Stout, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Pediatric Dentistry
Credential
DDS
Enumeration Date
Apr 17, 2007
Last Updated
Oct 19, 2022

Practice Location

Address
8310 MORRO RD
ZIP Code
93422-3927
Phone
(805) 464-2723

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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Organizations

Provider Name
Theron A. Stout, DDS a Professional Dental CorporationNewBizBotAI Deep Dive

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