Individual
EARL JOSEPH LONGAUER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6231 LEESBURG PIKE, SUITE 304, FALLS CHURCH, VA 22044-2102
(703) 533-8200
(703) 533-8269
Mailing address
6231 LEESBURG PIKE, SUITE 304, FALLS CHURCH, VA 22044-2102
(703) 533-8200
(703) 533-8269
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004892
VA
Other
Enumeration date
12/13/2006
Last updated
11/03/2014
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