Individual
DR. PAUL A LONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
59TH DENTAL TRAINING SQUADRON, 2133 PEPPERRELL STREET, SAN ANTONIO, TX 78236
(210) 292-6959
Mailing address
59TH DENTAL TRAINING SQUADRON, 2133 PEPPERRELL STREET, JBSA LACKLAND, TX 78236
(210) 292-6959
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DEN02629
RI
Other
Enumeration date
09/26/2006
Last updated
08/05/2021
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