Individual
STEPHEN A SOLOMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
189 KENNEDY DR, PUTNAM, CT 06260-1617
(860) 928-6533
Mailing address
189 KENNEDY DR, PUTNAM, CT 06260-1617
(860) 928-6533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7973
CT
Other
Enumeration date
06/21/2005
Last updated
07/09/2007
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