Lee C Long, DDS

NPI #1073723953 in Tillamook, Oregon

Provider Information

NPI Number: 1073723953
Entity Type: Individual
Name: Lee C Long, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1503 3RD ST
City: Tillamook
State: Oregon
ZIP Code: 97141-3409
Phone: (503) 842-2386

Specialties & Taxonomy Codes

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

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