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Individual

DR. KIMBERLY LONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
3118 N CROATAN HWY STE 102, KILL DEVIL HILLS, NC 27948-9252
(252) 480-6646
(252) 480-2258
Mailing address
3118 N CROATAN HWY STE 102, KILL DEVIL HILLS, NC 27948-9252
(252) 480-6646
(718) 780-5409

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
10282
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/02/2014
Last updated
02/06/2022
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