Organization
BRUCE I LONGMAN DDS, LLC
Active
Organization
BRUCE I LONGMAN DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE I LONGMAN (PRESIDENT)
(757) 718-4303
Entity
Organization
Contact information
Practice address
5220 ROLLESTON DR, VIRGINIA BEACH, VA 23464-2541
(757) 718-4303
Mailing address
5220 ROLLESTON DR, VIRGINIA BEACH, VA 23464-2541
(757) 718-4303
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
0401002782
VA
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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