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Organization

LONG FAMILY DENTAL PA

Active
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Organization

LONG FAMILY DENTAL PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT T LONG DDS (SECRETARY)
(817) 645-2437
Entity
Organization

Contact information

Practice address
907 W HENDERSON ST, CLEBURNE, TX 76033
(817) 645-2437
(817) 645-3961
Mailing address
907 W HENDERSON ST, CLEBURNE, TX 76033
(817) 645-2437
(817) 645-3961

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/31/2006
Last updated
08/22/2020
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