Individual
DR. RYAN A LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2591 MIAMISBURG-CENTERVILLE RD, SUITE 200, DAYTON, OH 45459
(937) 434-3757
Mailing address
51 GLENCROFT PL, DAYTON, OH 45459-4805
(608) 630-2382
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-023868
OH
Other
Enumeration date
02/25/2008
Last updated
08/10/2016
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