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Organization
LIFE LONG DENTAL CARE OF COLCHESTER LLC
Active
Organization
LIFE LONG DENTAL CARE OF COLCHESTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH LONG (OWNER)
(860) 537-1444
Entity
Organization
Contact information
Practice address
151 BROADWAY ST, COLCHESTER, CT 06415-1056
(860) 537-1444
Mailing address
151 BROADWAY ST, COLCHESTER, CT 06415-1056
(860) 537-1444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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