DR. Emily Marie Stout, D.D.S

NPI #1669766945 in Elkhart, Indiana

Provider Information

NPI Number: 1669766945
Entity Type: Individual
Name: DR. Emily Marie Stout, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S
Enumeration Date: Jun 5, 2011
Last Updated: Jun 5, 2011

Practice Location

Address: 805 WATERBURY PARK DR
City: Elkhart
State: Indiana
ZIP Code: 46517-2390
Phone: (574) 293-9222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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