Individual
DR. TONYA MONIQUE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1025 W MAIN ST, PARK HILLS, MO 63601-2079
(573) 431-1947
Mailing address
1008 CEDAR GLADE RD, BONNE TERRE, MO 63628-3630
(314) 304-0897
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2006021256
MO
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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