DR. Gene Fredrick Long, DDS
NPI #1124112107 in Seattle, Washington
Provider Information
- NPI Number
- 1124112107
- Entity Type
- Individual
- Name
- DR. Gene Fredrick Long, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 11066 5TH AVE NE
- Address 2
- SUITE 203
- City
- Seattle
- State
- Washington
- ZIP Code
- 98125-6156
- Phone
- (206) 361-9869
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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