Mcm Dental, Llc | |
74 Main Street Lakewood CT 06451 | |
(203) 235-0121 | |
(203) 235-6337 |
Full Name | Mcm Dental, Llc |
---|---|
Speciality | Dentist |
Location | 74 Main Street, Lakewood, Connecticut |
Authorized Official Name and Position | Maxwell Boatey (OWNER) |
Authorized Official Contact | 2032350121 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mcm Dental, Llc 74 Main St Meriden CT 06451-5119 Ph: (203) 235-0121 | Mcm Dental, Llc 74 Main Street Lakewood CT 06451 Ph: (203) 235-0121 |
NPI Number | 1235599333 |
---|---|
Provider Enumeration Date | 03/02/2016 |
Last Update Date | 03/02/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235599333 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 11072 (Connecticut) | Primary |