Individual
DR. RALPH PATRICK LUONGO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
W3275 WOLF RIVER DR, KESHENA, WI 54135-9202
(715) 799-3960
Mailing address
W3275 WOLF RIVER DR, KESHENA, WI 54135-9202
(715) 799-3960
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4802
NV
122300000X
Dentist
5561
AZ
122300000X
Dentist
Primary
6001279-15
WI
122300000X
Dentist
DD3700
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04331745
—
NM
Enumeration date
08/02/2006
Last updated
04/01/2025
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