Lakeview Dental Pllc
NPI #1790569465 in Wolcott, Connecticut
Provider Information
- NPI Number
- 1790569465
- Entity Type
- Organization
- Organization Name
- Lakeview Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 23, 2023
- Last Updated
- Aug 23, 2023
Practice Location
- Address
- 1681 MERIDEN RD
- City
- Wolcott
- State
- Connecticut
- ZIP Code
- 06716-3322
- Phone
- (203) 633-7178
Authorized Official
- Name
- CARLOS DEGOLLADO, DDS
- Title
- OWNER DENTIST
- Phone
- (860) 679-3749
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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