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Individual
VERONICA LONGVILLE
Active
Individual
VERONICA LONGVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12089
NC
Other
Enumeration date
01/04/2017
Last updated
05/28/2024
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