Individual
DR. DAVID MICHAEL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
78461 HIGHWAY 111, LA QUINTA, CA 92253
(760) 861-9599
Mailing address
46261 GOLDEN ROD LN, PALM DESERT, CA 92260-5585
(504) 289-5689
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
102446
CA
Other
Enumeration date
04/08/2014
Last updated
06/29/2018
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