Individual
ERIKA KAY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1600 S 4TH AVE STE 110, MORTON, IL 61550-3401
(309) 263-2781
(309) 263-4161
Mailing address
1600 S 4TH AVE STE 110, MORTON, IL 61550-3401
(309) 263-2781
(309) 263-4161
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
05/11/2007
Last updated
07/08/2007
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