Individual
DR. MARK E STEFANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
17 UNION ST, WINSTED, CT 06098
(860) 379-6252
Mailing address
17 UNION ST, WINSTED, CT 06098
(860) 379-6252
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6741
CT
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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