Individual
DR. LARRY D LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
102 NORTH FOURTH STREET, YOUNGWOOD, PA 15697-1383
(724) 925-3471
(724) 925-3471
Mailing address
102 NORTH FOURTH STREET, YOUNGWOOD, PA 15697-1383
(724) 925-3471
(724) 925-3471
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS018708L
PA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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