Individual
DR. SIMON PUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
123 FARMINGTON AVE, BRISTOL, CT 06010-4200
(860) 845-8872
Mailing address
6970 182ND ST, FRESH MEADOWS, NY 11365-3534
(443) 995-2829
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12835
CT
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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