Individual
ROBERT D LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11111 NALL AVE, SUITE 109, LEAWOOD, KS 66211-1620
(913) 491-3353
(913) 491-1042
Mailing address
11111 NALL AVE, SUITE 109, LEAWOOD, KS 66211-1620
(913) 491-3353
(913) 491-1042
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6019
KS
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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