DR. W Roger Long
NPI #1063410462 in Fort Pierce, Florida
Provider Information
- NPI Number
- 1063410462
- Entity Type
- Individual
- Name
- DR. W Roger Long
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jul 9, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1511 S 25TH ST
- Address 2
- SUITE A
- City
- Fort Pierce
- State
- Florida
- ZIP Code
- 34947-4779
- Phone
- (772) 464-2943
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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