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Organization
LIFE LONG DENTAL CARE OF TOLLAND LLC
Active
Organization
LIFE LONG DENTAL CARE OF TOLLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH JUDE LONG DMD (OWNER)
(860) 872-8551
Entity
Organization
Contact information
Practice address
630 TOLLAND STAGE RD, TOLLAND, CT 06084-2924
(860) 872-8551
(860) 871-8364
Mailing address
630 TOLLAND STAGE RD, TOLLAND, CT 06084-2924
(860) 872-8551
(860) 871-8364
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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