Denise Long

NPI #1114119534 in Wausau, Wisconsin

Provider Information

NPI Number
1114119534
Entity Type
Individual
Name
Denise Long
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Enumeration Date
Aug 10, 2007
Last Updated
Aug 10, 2007

Practice Location

Address
3650 STEWART AVE
City
Wausau
ZIP Code
54401-3944
Phone
(715) 845-3171

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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