Jrlong, Pllc

NPI #1184392300 in Wilmington, North Carolina

Provider Information

NPI Number: 1184392300
Entity Type: Organization
Organization Name: Jrlong, Pllc
Primary Specialty: Clinic/Center
Enumeration Date: Sep 1, 2021
Last Updated: Sep 1, 2021

Practice Location

Address: 9020 SENCA DR STE 210
City: Wilmington
State: North Carolina
ZIP Code: 28411-6680
Phone: (910) 756-5100

Authorized Official

Name: DR. JACOB ROSS LONG, DDS
Title: OWNER/DENTIST
Phone: (304) 688-1713

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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