Individual
DR. CHRISTIAN MICHAEL LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
920 WASHINGTON ST, HUNTINGDON, PA 16652-1826
(814) 643-4757
Mailing address
920 WASHINGTON ST, HUNTINGDON, PA 16652-1826
(814) 643-4757
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037522
PA
Other
Enumeration date
07/27/2008
Last updated
07/27/2008
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