Organization
KENT C LONG DC INC
Active
Other names
Long Chiropractic Office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT CHARLES LONG D.C. (OWNER)
(937) 278-7246
Entity
Organization
Contact information
Practice address
4978 NORTHCUTT PL, DAYTON, OH 45414-3840
(937) 278-7246
(937) 278-5640
Mailing address
4978 NORTHCUTT PL, DAYTON, OH 45414-3840
(937) 278-7246
(937) 278-5640
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
1362
OH
Other
Enumeration date
02/27/2007
Last updated
11/18/2009
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