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Individual
DR. WALTER R. LONG
Active
Individual
DR. WALTER R. LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3707
SC
Other
Enumeration date
04/26/2007
Last updated
05/19/2025
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