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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