DR. Robert Earl Long SR., DDS

NPI #1437332160 in Clarksdale, Mississippi

Provider Information

NPI Number: 1437332160
Entity Type: Individual
Name: DR. Robert Earl Long SR., DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 17, 2007
Last Updated: Dec 17, 2007

Practice Location

Address: 527 DESOTO AVE
City: Clarksdale
State: Mississippi
ZIP Code: 38614-5216
Phone: (662) 627-2565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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