Individual
DR. RODERICK LAMONT MACNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.DENT.SC.
Contact information
Practice address
263 FARMINGTON AVENUE, UNIVERSITY DENTISTS, FARMINGTON, CT 06030
(860) 679-3170
(860) 679-8162
Mailing address
263 FARMINGTON AVENUE, UNIVERSITY DENTISTS, FARMINGTON, CT 06030-2820
(860) 679-3170
(860) 679-8162
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
008549
CT
Other
Enumeration date
05/02/2007
Last updated
05/23/2018
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