Individual
KATIE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1111 9TH ST STE 190, DES MOINES, IA 50314-2527
(515) 244-9136
Mailing address
1111 9TH ST STE 190, DES MOINES, IA 50314-2527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-10209
IA
Other
Enumeration date
06/06/2024
Last updated
07/20/2025
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