Bolton Lake Dental Llc

LBN: Bolton Lake Dental Llc
Bolton Lake Dental Llc is an health care organization with primary practice located at 1120 Boston Tpke , Bolton CT 06043-7439. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Bolton Lake Dental Llc can be contacted via phone (860) 646-3003, or through Ilies, Cristina via phone (860) 646-3003.

Contact Information

Primary practice address
1120 Boston Tpke Bolton CT 06043-7439
Phone: (860) 646-3003
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ilies, Cristina Doctor of Dental Surgery (DDS)
Phone: (860) 646-3003

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1194357418
LBN Legal business name Bolton Lake Dental Llc
DBA Doing business as
Authorized official Ilies, Cristina Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2020
Last updated Feb 5th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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