Organization
WILSON LONG DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILSON LONG DDS (CEO)
(714) 894-3306
Entity
Organization
Contact information
Practice address
7271 WESTMINSTER BLVD, WESTMINSTER, CA 92683-4235
(714) 894-3306
Mailing address
7271 WESTMINSTER BLVD, WESTMINSTER, CA 92683-4235
(714) 894-3306
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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