Robert W Long DDS MSD

NPI 1659459667 - Dentist - 1223P0221X

NPI Details
NPI 1659459667
Gender Male
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2705 S BERKLEY
BUILDING 2 SUITE B
KOKOMO IN, 46902-8007, US
Phone (765) 453-2267
Fax (765) 453-1150
Business Location
2705 S BERKLEY
BUILDING 2 SUITE B
KOKOMO IN, 46902-8007, US
Phone (765) 453-2267
Fax (765) 453-1150
Toxanomy
Taxonomy Code 1223P0221X
License State Indiana
License Number 12010170A
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According to our database, Robert W Long DDS MSD NPI is 1659459667, taxonomy code is 1223P0221X and license number is 12010170A, license state is located at Indiana. Robert W Long DDS MSD physically located at 2705 S Berkley, Kokomo IN, 46902-8007. NPI Number Robert W Long DDS MSD has the Individual type.

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1659459667 NPI number is provided on an as is basis without warranty of any kind. 1659459667 is maintained by the National Plan & Provider Enumeration System. The contents of Robert W Long DDS MSD are for informational purposes only.