Edward Long

NPI #1235321555 in Merrill, Wisconsin

Provider Information

NPI Number
1235321555
Entity Type
Individual
Name
Edward 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
2402 E MAIN ST
Address 2
SUITE 8
ZIP Code
54452-2702
Phone
(715) 539-0441

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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