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Organization
W.ROGER LONG DDS.,P.A.
Active
Organization
W.ROGER LONG DDS.,P.A.
Active
Other names
Smooth Sailing Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. W.ROGER LONG DDS (OWNER)
(772) 464-2943
Entity
Organization
Contact information
Practice address
1511 S 25TH ST, FORT PIERCE, FL 34947-4779
(772) 464-2943
(772) 464-8801
Mailing address
1511 S 25TH ST, FORT PIERCE, FL 34947-4779
(772) 464-2943
(772) 464-8801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9663
FL
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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