Individual
DR. LOWELL KENT LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1223 S GEAR AVE, EASTMAN PLAZA, SUITE 302, WEST BURLINGTON, IA 52655-1682
(319) 753-2515
Mailing address
743 EICHER ST, KEOKUK, IA 52632-2420
(319) 524-3467
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7324
IA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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