Long Family Dental PA

NPI #1700997616 in Cleburne, Texas

Provider Information

NPI Number: 1700997616
Entity Type: Organization
Organization Name: Long Family Dental PA
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 31, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 907 W HENDERSON ST
City: Cleburne
State: Texas
ZIP Code: 76033
Phone: (817) 645-2437

Authorized Official

Name: DR. ROBERT T LONG, DDS
Title: SECRETARY
Phone: (817) 645-2437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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