Organization
THOMAS E. LONG DDS II
Active
Other names
Raleigh Institute for General Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS EDWARD LONG DDS (DENTIST)
(919) 782-6237
Entity
Organization
Contact information
Practice address
2310 MYRON DR, SUITE 220, RALEIGH, NC 27607-3358
(919) 782-6237
(919) 782-7144
Mailing address
2310 MYRON DR, SUITE 220, RALEIGH, NC 27607-3358
(919) 782-6237
(919) 782-7144
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6694
NC
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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