JEREMIAH LONG

NEW HAVEN, CT
NPI1518168673
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CT  7944)
Enumeration Date2007-05-29
Last Update Date2007-07-08
Business Address
Dr. JEREMIAH LONG DMD
921 STATE ST
NEW HAVEN, CT 06511-3926
Phone number: 203-858-8292
Mailing Address
Dr. JEREMIAH LONG DMD
921 STATE ST
NEW HAVEN, CT 06511-3926
Phone number: 203-858-8292