Mcm Dental, LLC

NPI #1235599333 in Lakewood, Connecticut

Provider Information

NPI Number: 1235599333
Entity Type: Organization
Organization Name: Mcm Dental, LLC
Primary Specialty: Dentist
Enumeration Date: Mar 2, 2016
Last Updated: Mar 2, 2016

Practice Location

Address: 74 MAIN STREET
City: Lakewood
State: Connecticut
ZIP Code: 06451
Phone: (203) 235-0121

Authorized Official

Name: MAXWELL BOATEY, D.M.D
Title: OWNER
Phone: (203) 235-0121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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