Individual
ALEX LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1805 W WHITE OAK TER STE A, CONROE, TX 77304-3456
(414) 840-2822
Mailing address
229 E FRANKLIN ST, APPLETON, WI 54911-5434
(920) 332-6691
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001538-15
WI
Other
Enumeration date
06/14/2017
Last updated
09/29/2023
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