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Individual

VERONICA LONGVILLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
2715 PINEDALE RD, GREENSBORO, NC 27408-4713
(336) 379-8377
Mailing address
4601 ADONICA LN, GREENSBORO, NC 27410-9658
(210) 621-3713

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
12089
NC

Other

Enumeration date
01/04/2017
Last updated
05/28/2024
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