| Siobhan M. Stephen, Dmd, Md, Llc | |
|
33 Dale Rd Avon CT 06001-3612 | |
| (860) 284-0528 | |
| Not Available |
| Full Name | Siobhan M. Stephen, Dmd, Md, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 33 Dale Rd, Avon, Connecticut |
| Authorized Official Name and Position | Siobhan M Stephen (OWNER) |
| Authorized Official Contact | 8602840528 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Siobhan M. Stephen, Dmd, Md, Llc 33 Dale Rd Avon CT 06001-3612 Ph: (860) 284-0528 | Siobhan M. Stephen, Dmd, Md, Llc 33 Dale Rd Avon CT 06001-3612 Ph: (860) 284-0528 |
| NPI Number | 1255654299 |
|---|---|
| Provider Enumeration Date | 03/04/2010 |
| Last Update Date | 03/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255654299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 009992 (Connecticut) | Primary |
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