Individual
DR. WILLIAM G. LONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
888 THACKERAY TRL, SUITE 208, OCONOMOWOC, WI 53066-4342
(262) 567-8991
(262) 567-8902
Mailing address
888 THACKERAY TRL, SUITE 208, OCONOMOWOC, WI 53066-4342
(262) 567-8991
(262) 567-8902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2717-015
WI
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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