Individual
AUSTIN LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 RIVER RD, WESTON, MA 02493-2445
(781) 893-0405
Mailing address
101 RIVER RD, WESTON, MA 02493-2445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1859948
MA
Other
Enumeration date
08/11/2023
Last updated
08/11/2023
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