Whalio Doctors

NPI 1417966078

Mark E Stefanov, DMD

Practitioner Dentist Winsted, CT

Practice location

Address
17 Union St, Winsted, CT 06098
Phone
(860) 379-6252

Registered specialties

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 6741 (CT)

Registry record

NPI
1417966078
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Aug 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.