Individual
MICHAEL WALTER LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7760 SAGEBRUSH DR, SANDY SPRINGS, GA 30350-4734
(760) 861-9599
Mailing address
7760 SAGEBRUSH DR, SANDY SPRINGS, GA 30350-4734
(760) 861-9599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015318
GA
Other
Enumeration date
11/22/2006
Last updated
05/31/2025
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