Individual
DR. MAXWELL A BOATEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
415 BROAD ST, MERIDEN, CT 06450-5839
(203) 634-1515
(203) 634-7519
Mailing address
415 BROAD ST, MERIDEN, CT 06450-5839
(203) 634-1515
(203) 634-7519
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
011072
CT
Other
Enumeration date
06/06/2011
Last updated
09/06/2014
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