Organization
SIOBHAN M. STEPHEN, DMD, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIOBHAN M STEPHEN DMD, MD (OWNER)
(860) 284-0528
Entity
Organization
Contact information
Practice address
33 DALE RD, AVON, CT 06001-3612
(860) 284-0528
Mailing address
33 DALE RD, AVON, CT 06001-3612
(860) 284-0528
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
009992
CT
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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