Organization · Type 2 NPI
Bolton Lake Dental LLC
Dental Clinic/Center · Bolton, CT
NPI number
1194357418
Active
Practice location
1120 Boston Tpke
Bolton, CT 06043-7439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1194357418
Bolton Lake Dental LLC's National Provider Identifier is 1194357418, issued on Feb 5, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Bolton, CT. The record was last updated on Feb 5, 2020.