Individual
STEPHEN POON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, FICOI
Contact information
Practice address
579 NEWFIELD AVE, STAMFORD, CT 06905-3302
(203) 890-9300
(203) 890-9250
Mailing address
579 NEWFIELD AVE, STAMFORD, CT 06905-3302
(203) 890-9300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12446
CT
1223G0001X
General Practice Dentistry
Primary
12446
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2013
Last updated
10/15/2019
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