Individual
DR. STEPHEN THOMAS COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
44 CENTER ST, PROSPECT, CT 06712-1639
(203) 758-6639
Mailing address
1692 E MAIN ST, TORRINGTON, CT 06790-3519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11643
CT
Other
Enumeration date
06/21/2016
Last updated
02/24/2022
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