Organization
ROBERT D. LONG DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D LONG DDS (PRESIDENT/DENTIST)
(913) 491-3353
Entity
Organization
Contact information
Practice address
11111 NALL AVE STE 109, LEAWOOD, KS 66211-1625
(913) 491-3353
(913) 491-1042
Mailing address
11111 NALL AVE STE 109, LEAWOOD, KS 66211-1625
(913) 491-3353
(913) 491-1042
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
KS 6019
KS
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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