Individual
DR. HARRY AUSTIN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
330 RATZER RD, WAYNE, NJ 07470
(973) 694-5101
(973) 305-1355
Mailing address
330 RATZER RD, WAYNE, NJ 07470
(973) 694-5101
(973) 305-1355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9567
NJ
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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