Individual
DR. WILLIAM GOULD LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1810 CENTRAL AVE, AUGUSTA, GA 30904-5735
(706) 737-0133
(706) 737-0133
Mailing address
1810 CENTRAL AVE, AUGUSTA, GA 30904-5735
(706) 737-0133
(706) 737-0133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN009950
GA
Other
Enumeration date
09/28/2006
Last updated
12/10/2007
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