Individual
ALEX LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
(760) 725-1436
Mailing address
435 LEXINGTON CIR, OCEANSIDE, CA 92057-7355
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
13431009-8903
UT
Other
Enumeration date
06/29/2017
Last updated
02/03/2025
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