Life Long Dental Care of Tolland LLC
NPI #1710344627 in Tolland, Connecticut
Provider Information
- NPI Number
- 1710344627
- Entity Type
- Organization
- Organization Name
- Life Long Dental Care of Tolland LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 22, 2016
- Last Updated
- Jan 22, 2016
Practice Location
- Address
- 630 TOLLAND STAGE RD
- City
- Tolland
- State
- Connecticut
- ZIP Code
- 06084-2924
- Phone
- (860) 872-8551
Authorized Official
- Name
- DR. JEREMIAH JUDE LONG, DMD
- Title
- OWNER
- Phone
- (860) 872-8551
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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