Individual
DR. JOHN EDWARD LONGLEY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
20 E TIMONIUM RD, STE 210, TIMONIUM, MD 21093-3456
(410) 308-4880
(410) 308-4883
Mailing address
118 BOSLEY AVE, COCKEYSVILLE HUNT VALLEY, MD 21030-2334
(410) 666-1213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13371
MD
Other
Enumeration date
06/01/2005
Last updated
07/08/2007
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