Individual
DR. ROBERT MICHAEL LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4359 KUKUI GROVE ST, #104, LIHUE, HI 96766-2008
(808) 245-3722
Mailing address
4359 KUKUI GROVE ST, #104, LIHUE, HI 96766-2008
(808) 245-3722
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DT 939
HI
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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