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
- City
- Atascadero
- State
- California
- ZIP Code
- 93422-3927
- Phone
- (805) 464-2723
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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Organizations
| Provider Name | |
|---|---|
| Theron A. Stout, DDS a Professional Dental Corporation |
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