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Bolton Lake Dental Llc
Dental Clinic/Center in Bolton, Connecticut
NPI 1194357418

Bolton Lake Dental Llc is a Dental Clinic/Center based in Bolton, CT and is specialized in Dental. Bolton Lake Dental Llc practices in Bolton, CT. The NPI Number for Bolton Lake Dental Llc is 1194357418 and holds a License No. (Connecticut).

The current practice location address for Bolton Lake Dental Llc is 1120 Boston Tpke, Bolton, CT and can be reached out via phone at 860-646-3003.

Location: 1120 Boston Tpke, Bolton, CT, 06043-7439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194357418
Provider Name
Bolton Lake Dental Llc
Credential
Provider Entity Type
Organization
Address
1120 Boston Tpke, Bolton, CT, 06043-7439
Phone Number
860-646-3003
Fax Number
Provider Enumeration Date
02/05/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1120 Boston Tpke
City
Bolton
State
Connecticut
Zip
06043-7439
Phone Number
860-646-3003
Fax Number
person
Provider Business Mailing Address Details
Address
1120 Boston Tpke
City
Bolton
State
Connecticut
Zip
06043-7439
Phone Number
860-646-3003
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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