Organization
JOY JAY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK LONG (OWNER)
(301) 475-3305
Entity
Organization
Contact information
Practice address
41630 COURTHOUSE DR., LEONARDTOWN, MD 20650
(301) 475-3305
Mailing address
PO BOX 624, 41630 COURTHOUSE DR., LEONARDTOWN, MD 20650-0624
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8588
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FRANK LONG 8588
PPO PROVIDERS AND TRADITIONAL DENTAL
—
Enumeration date
10/30/2014
Last updated
10/30/2014
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