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Individual

DR. REBECCA LYNN LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
432 BUTTERFIELD RD, CHINO VALLEY, AZ 86323-5613
(928) 636-1565
Mailing address
1936 FOOTHILL DR, PRESCOTT, AZ 86303-5539
(562) 242-8244

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011478
AZ

Other

Enumeration date
06/29/2022
Last updated
06/29/2022
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