Coastal Connecticut Dentistry, LLC
NPI #1689722365 in Waterford, Connecticut
Provider Information
- NPI Number
- 1689722365
- Entity Type
- Organization
- Organization Name
- Coastal Connecticut Dentistry, LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 8, 2007
- Last Updated
- Aug 3, 2010
Practice Location
- Address
- 112 CROSS ROAD
- City
- Waterford
- State
- Connecticut
- ZIP Code
- 06385
- Phone
- (860) 447-1787
Authorized Official
- Name
- DR. LLOYD P MCDONALD I, DDS
- Title
- MEMBER/OWNER
- Phone
- (860) 447-1787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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