Organization
EDWARD D LONG III DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD D LONG III DDS (PRESIDENT)
(716) 874-6363
Entity
Organization
Contact information
Practice address
1895 SHERIDAN DRIVE, KENMORE, NY 14223-1201
(716) 874-6363
(716) 874-6700
Mailing address
1895 SHERIDAN DRIVE, KENMORE, NY 14223-1201
(716) 874-6363
(716) 874-6700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
032217
NY
Other
Enumeration date
09/14/2006
Last updated
08/22/2020
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