Organization
COASTAL CONNECTICUT DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LLOYD P MCDONALD I DDS (MEMBER/OWNER)
(860) 447-1787
Entity
Organization
Contact information
Practice address
112 CROSS ROAD, WATERFORD, CT 06385
(860) 447-1787
(860) 447-1211
Mailing address
112 CROSS ROAD, WATERFORD, CT 06385
(860) 447-1787
(860) 447-1211
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9096
CT
Other
Enumeration date
01/08/2007
Last updated
08/03/2010
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