Individual
MR. ROBERT ANTHONY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1512 PIEDMONT AVE NE, SUITE 202, ATLANTA, GA 30324-5044
(404) 873-2957
(404) 873-2526
Mailing address
1512 PIEDMONT AVE NE, SUITE 202, ATLANTA, GA 30324-5044
(404) 873-2957
(404) 873-2526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN011873
GA
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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