Stoute Dental Pc | |
2411 Crofton Ln #20 A Crofton MD 21114-1336 | |
(410) 721-0900 | |
Not Available |
Full Name | Stoute Dental Pc |
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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 |
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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 |
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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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