Bolton Lake Dental LLC
Bolton Lake Dental LLC is a Dental Clinic/Center in Bolton, Connecticut. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1120 Boston TpkeBolton, CT 06043-7439
Phone: (860) 646-3003
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1194357418 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cristina Ilies — Owner · (860) 646-3003 |
| NPI enumerated | February 5, 2020 |
| Last updated in NPPES | February 5, 2020 |
| Certification date | February 5, 2020 |
| Mailing address | 1120 Boston Tpke, Bolton, CT 06043-7439 |