DR. Michael David Long, DDS
NPI #1003908971 in Sauk Centre, Minnesota
Provider Information
- NPI Number
- 1003908971
- Entity Type
- Individual
- Name
- DR. Michael David Long, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Sep 29, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 304 MAIN ST
- City
- Sauk Centre
- State
- Minnesota
- ZIP Code
- 56378-0187
- Phone
- (320) 352-2822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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