Organization · Type 2 NPI

Siobhan M. Stephen, Dmd, Md, LLC

Dental Clinic/Center · Avon, CT

NPI number 1255654299 Active

Practice location

33 Dale Rd
Avon, CT 06001-3612

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X009992 (CT)

Dental Clinic/Center: Definition to come...

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About NPI 1255654299

Siobhan M. Stephen, Dmd, Md, LLC's National Provider Identifier is 1255654299, issued on Mar 4, 2010. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Avon, CT. The record was last updated on Mar 4, 2010.