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Theron A. Stout, Dds A Professional Dental Corporation
Pediatric Dentist in Atascadero, California
NPI 1174951727

Theron A. Stout, Dds A Professional Dental Corporation is a Pediatric Dentist based in Atascadero, CA and is specialized in Pediatric Dentistry. Theron A. Stout, Dds A Professional Dental Corporation practices in Atascadero, CA. The NPI Number for Theron A. Stout, Dds A Professional Dental Corporation is 1174951727 and holds a License No. 50103 (California).

The current practice location address for Theron A. Stout, Dds A Professional Dental Corporation is 8310 Morro Rd., Atascadero, CA and can be reached out via phone at 805-464-2723 and via fax at 805-464-2726.

Location: 8310 Morro Rd., Atascadero, CA, 93422-3927
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174951727
Provider Name
Theron A. Stout, Dds A Professional Dental Corporation
Credential
Provider Entity Type
Organization
Address
8310 Morro Rd., Atascadero, CA, 93422-3927
Phone Number
805-464-2723
Fax Number
805-464-2726
Provider Enumeration Date
10/17/2013
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
8310 Morro Rd.
City
Atascadero
State
California
Zip
93422-3927
Phone Number
805-464-2723
Fax Number
805-464-2726
person
Provider Business Mailing Address Details
Address
8310 Morro Rd.
City
Atascadero
State
California
Zip
93422-3927
Phone Number
805-464-2723
Fax Number
805-464-2726
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
50103 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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