Organization
DENTAL CARE OF STAMFORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME MICHAEL SIMON DDS (DENTIST)
(203) 324-6171
Entity
Organization
Contact information
Practice address
1500 SUMMER ST, STAMFORD, CT 06905-5132
(203) 324-6171
Mailing address
1500 SUMMER ST, STAMFORD, CT 06905-5132
(203) 324-6171
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4500
CT
Other
Enumeration date
07/15/2006
Last updated
03/04/2008
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