Individual
DR. JEROME ALAN STIEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1268 MAIN ST, SUITE 202, NEWINGTON, CT 06111
(860) 667-2279
(860) 667-7713
Mailing address
1268 MAIN ST, SUITE 202, NEWINGTON, CT 06111
(860) 667-2279
(860) 667-7713
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4196
CT
Other
Enumeration date
06/11/2006
Last updated
07/08/2007
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