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Individual
EDWARD A LONGWE
Active
Individual
EDWARD A LONGWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DEN1000625
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
087875822
DRIVER LICENSE
TN
Enumeration date
05/04/2007
Last updated
08/29/2012
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