Individual
DR. RICHARD G LONGBRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1177 SOUTH MAIN STREET, NORTH CANTON, OH 44720
(330) 499-1066
(330) 499-0241
Mailing address
9435 HUNTSHIRE AVENUE NW, NORTH CANTON, OH 44720
(330) 494-2527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12706
OH
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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