DR. Charles Anthony Long, DDS

NPI #1972172971 in San Antonio, Texas

Provider Information

NPI Number
1972172971
Entity Type
Individual
Name
DR. Charles Anthony Long, DDS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DDS
Enumeration Date
Jun 23, 2021
Last Updated
Jul 12, 2023

Practice Location

Address
3551 ROGER BROOKE DR
State
Texas
ZIP Code
78234-4504
Phone
(210) 221-0826

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery
Dentist

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