| Stoute Dental Pc | |
|
2411 Crofton Ln #20 A Crofton MD 21114-1336 | |
| (410) 721-0900 | |
| Not Available |
| Full Name | Stoute Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2411 Crofton Ln #20 A, Crofton, Maryland |
| Authorized Official Name and Position | Brian Stoute (DENTIST/OWNER) |
| Authorized Official Contact | 4107210900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stoute Dental Pc 2411 Crofton Ln #20 A Crofton MD 21114-1336 Ph: (410) 721-0900 | Stoute Dental Pc 2411 Crofton Ln #20 A Crofton MD 21114-1336 Ph: (410) 721-0900 |
| NPI Number | 1578747671 |
|---|---|
| Provider Enumeration Date | 12/26/2007 |
| Last Update Date | 12/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578747671 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13204 (Maryland) | Primary |
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