Individual
STEVEN K LONG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2318 NW KINGS BLVD, CORVALLIS, OR 97330
(541) 754-6116
(541) 753-3616
Mailing address
2318 NW KINGS BLVD, CORVALLIS, OR 97330
(541) 754-6116
(541) 753-3616
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D54041
OR
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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