Individual
DR. JULIE WATHEN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS PA
Contact information
Practice address
1575 WEST GRAND PARKWAY, #1200, KATY, TX 77494
(281) 395-1700
(281) 395-1725
Mailing address
1575 WEST GRAND PARKWAY, #1200, KATY, TX 77494
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18753
TX
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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