Individual
DAVID ROBERT DE LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1230 SCOTT BLVD, SANTA CLARA, CA 95050-4517
(408) 243-5741
(408) 243-1484
Mailing address
1230 SCOTT BLVD, SANTA CLARA, CA 95050-4517
(408) 243-5141
(408) 243-1484
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DU035867
CA
Other
Enumeration date
08/16/2006
Last updated
07/08/2007
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