Life Long Dental Care of Colchester LLC
NPI #1164842506 in Colchester, Connecticut
Provider Information
- NPI Number
- 1164842506
- Entity Type
- Organization
- Organization Name
- Life Long Dental Care of Colchester LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 24, 2014
- Last Updated
- Apr 24, 2014
Practice Location
- Address
- 151 BROADWAY ST
- City
- Colchester
- State
- Connecticut
- ZIP Code
- 06415-1056
- Phone
- (860) 537-1444
Authorized Official
- Name
- DR. JEREMIAH LONG
- Title
- OWNER
- Phone
- (860) 537-1444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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