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Individual

DR. ALFRED PATRICK LONGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1801 W WISCONSIN AVE, MUSOD ADVANCED CARE CLINIC, MILWAUKEE, WI 53233-2186
(414) 288-7388
Mailing address
PO BOX 1881, MUSOD ADVANCED CARE CLINIC, MILWAUKEE, WI 53201-1881
(414) 288-7388

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6349-015
WI

Other

Enumeration date
03/07/2009
Last updated
03/07/2009
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