Individual
DR. AMANDA MARGARET ALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
127 GREYLOCK PLACE, STAMFORD, CT 06901
(203) 323-5439
Mailing address
37 VENICE RD, METHUEN, MA 01844-1633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12564
CT
1223P0221X
Pediatric Dentistry
12564
CT
1223P0221X
Pediatric Dentistry
Primary
DN1858907
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2018
Last updated
11/09/2021
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