Larry I Long, DDS
NPI #1053530873 in West Des Moines, Iowa
Provider Information
- NPI Number
- 1053530873
- Entity Type
- Individual
- Name
- Larry I Long, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Apr 24, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7029 VISTA DR
- City
- West Des Moines
- State
- Iowa
- ZIP Code
- 50266-9311
- Phone
- (515) 222-1244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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