Individual
LORI LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
313 AUTUMN HL, MURPHY, TX 75094-4436
(214) 952-5143
Mailing address
313 AUTUMN HL, MURPHY, TX 75094-4436
(214) 952-5143
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
12656
TX
174400000X
Specialist
—
—
Other
Enumeration date
01/29/2021
Last updated
11/21/2022
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