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1821183377
MICHAEL LONGO
EAST HAVEN, CT
NPI
1821183377
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: CT 8159)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
-- MICHAEL LONGO D.M.D.
310 MAIN STREET
EAST HAVEN, CT 06512
Phone number: 203-469-8057
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Mailing Address
-- MICHAEL LONGO D.M.D.
310 MAIN STREET
EAST HAVEN, CT 06512
Phone number: 203-469-8057
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