Individual
CHRISTINA LONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
814 S MAIN ST, WAKE FOREST, NC 27587-2808
(919) 714-2928
(919) 910-5532
Mailing address
814 S MAIN ST, WAKE FOREST, NC 27587-2808
(917) 992-2646
(919) 910-5532
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10180
NC
Other
Enumeration date
06/18/2014
Last updated
02/26/2025
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