Individual
DR. CARLOS MIGUEL LONGA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
590 BOSWORTH ST, SAN FRANCISCO, CA 94131-3201
(415) 585-1500
Mailing address
590 BOSWORTH ST, SAN FRANCISCO, CA 94131-3201
(415) 585-1500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
56254
CA
Other
Enumeration date
09/03/2009
Last updated
09/03/2009
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