Individual
MR. C. ROSS LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3740 COORS BLVD NW STE A, ALBUQUERQUE, NM 87120-4762
(505) 836-1280
(505) 839-4782
Mailing address
3740 COORS BLVD NW STE A, ALBUQUERQUE, NM 87120-4762
(505) 836-1280
(505) 839-4782
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2057
NM
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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