| NPI | 1689722365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD P MCDONALD Member/Owner 860-447-1787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CT 9096) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2010-08-03 |