DR. Bruce A Long, D.D.S.

NPI #1043478712 in Salida, Colorado

Provider Information

NPI Number: 1043478712
Entity Type: Individual
Name: DR. Bruce A Long, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: May 29, 2008
Last Updated: May 29, 2008

Practice Location

Address: 1222 C ST
City: Salida
State: Colorado
ZIP Code: 81201-2723
Phone: (719) 539-3145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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