Individual
KRISTEN ASHLEY LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4518 CENTER ST, DEER PARK, TX 77536-6351
(281) 479-2841
Mailing address
13302 PEONY MEADOW TRL, HOUSTON, TX 77059-1526
(713) 494-9512
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40910
TX
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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