W.roger Long Dds.,p.a.
NPI #1932602661 in Fort Pierce, Florida
Provider Information
- NPI Number
- 1932602661
- Entity Type
- Organization
- Organization Name
- W.roger Long Dds.,p.a.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 8, 2018
- Last Updated
- Mar 8, 2018
Practice Location
- Address
- 1511 S 25TH ST
- City
- Fort Pierce
- State
- Florida
- ZIP Code
- 34947-4779
- Phone
- (772) 464-2943
Authorized Official
- Name
- DR. W.ROGER LONG, DDS
- Title
- OWNER
- Phone
- (772) 464-2943
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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