Individual
DR. MICHAEL J LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1268 E MAIN ST, AUBURN, WA 98002-5748
(253) 333-1000
Mailing address
1268 E MAIN ST, AUBURN, WA 98002-5748
(253) 333-1000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE00007329
WA
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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