Individual
GREGORY WILLIAM LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
207 EMERSON DRIVE, ZELIENOPLE, PA 16063
(724) 452-7887
(724) 452-6803
Mailing address
306 WEST SOLOMON CT, ZELIENOPLE, PA 16063
(724) 453-0622
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN16563
FL
122300000X
Dentist
Primary
DS029696L
PA
Other
Enumeration date
12/06/2006
Last updated
11/23/2011
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