| Dr. Joseph R. Stout, Dds, Msd, Llc | |
|
2210 Kulshan View Dr Mount Vernon WA 98273-2779 | |
| (360) 424-3811 | |
| Not Available |
| Full Name | Dr. Joseph R. Stout, Dds, Msd, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2210 Kulshan View Dr, Mount Vernon, Washington |
| Authorized Official Name and Position | Joseph Stout (DR.) |
| Authorized Official Contact | 3604243811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Joseph R. Stout, Dds, Msd, Llc 2210 Kulshan View Dr Mount Vernon WA 98273-2779 Ph: () - | Dr. Joseph R. Stout, Dds, Msd, Llc 2210 Kulshan View Dr Mount Vernon WA 98273-2779 Ph: (360) 424-3811 |
| NPI Number | 1306109376 |
|---|---|
| Provider Enumeration Date | 06/24/2012 |
| Last Update Date | 06/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306109376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DE60292936 (Washington) | Primary |
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