Individual
DR. JOHN W STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
317 FLANDERS RD, EAST LYME, CT 06333-1711
(860) 739-5700
Mailing address
42 SEABURY AVE, LEDYARD, CT 06339-1343
(860) 464-6534
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008695
CT
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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