Individual
DR. NICHOLAS CLAYTON LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
872 THE ALAMEDA, SAN JOSE, CA 95126
(408) 947-8444
(408) 947-7978
Mailing address
872 THE ALAMEDA, SAN JOSE, CA 95126
(408) 947-8444
(408) 947-7978
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
44927
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G9350501
—
CA
Enumeration date
02/15/2007
Last updated
07/08/2007
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