Longobardi, Mark Louis
Longobardi, Mark Louis is an sole proprietor health care provider with primary practice located at 169 Valley St , Willimantic CT 06226-2428. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Longobardi, Mark Louis can be contacted via phone (860) 456-1784.Contact Information
Primary practice address
169 Valley St
Willimantic CT 06226-2428
Phone: (860) 456-1784
Fax: (860) 423-6408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6965 | Connecticut |
Profile Details
| NPI number | 1184635849 |
|---|---|
| LBN Legal business name | Longobardi, Mark Louis |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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