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Organization
DANIEL E. LONG, DDS, LLC
Active
Organization
DANIEL E. LONG, DDS, LLC
Active
Other names
Long in the Tooth Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL E LONG DDS (PRESIDENT)
(907) 435-9708
Entity
Organization
Contact information
Practice address
34115 STERLING HIGHWAY, ANCHOR POINT, AK 99556
(907) 226-3700
Mailing address
PO BOX 945, ANCHOR POINT, AK 99556-0945
(907) 226-3700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003506
—
AK
Enumeration date
04/20/2021
Last updated
04/20/2021
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