Organization
LAKEVIEW DENTAL PLLC
Active
Other names
Lakeview Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS DEGOLLADO DDS (OWNER DENTIST)
(860) 679-3749
Entity
Organization
Contact information
Practice address
1681 MERIDEN RD, WOLCOTT, CT 06716-3322
(203) 633-7178
Mailing address
1681 MERIDEN RD, WOLCOTT, CT 06716-3322
(203) 633-7178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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