Individual
DR. MARK LOUIS LONGOBARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
169 VALLEY ST, WILLIMANTIC, CT 06226-2428
(860) 456-1784
(860) 423-6408
Mailing address
169 VALLEY ST, WILLIMANTIC, CT 06226-2428
(860) 456-1784
(860) 423-6408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6965
CT
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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