Individual
MRS. CELINA M LONGORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
15210 SPRING CYPRESS RD, SUITE G, CYPRESS, TX 77429-6407
(281) 213-8700
(281) 256-9685
Mailing address
15210 SPRING CYPRESS RD, SUITE G, CYPRESS, TX 77429-6407
(281) 213-8700
(281) 256-9685
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20614
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1327993
UNITED CONCORDIA
—
01
—
88D738
BCBS
—
Enumeration date
02/27/2007
Last updated
07/08/2007
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