ZACHARY LONGO

APO, AA
NPI1508534025
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CT  13147)
Additional Taxonomies122300000X Dentist
(Licence: NM  DD22023)
Enumeration Date2021-08-31
Last Update Date2024-03-19
Business Address
Dr. ZACHARY LONGO DMD
CANNON AIR FORCE BASE 27 SPECIAL OPERATIONS MEDICAL READINESS SQUADRON
APO, AA 88013
Phone number: 240-612-2665
Mailing Address
Dr. ZACHARY LONGO DMD
181 BURR RD
SOUTHBURY, CT 06488-2729
Phone number: 203-525-8026
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