Individual
CRAIG LONGENECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16928 YORK RD, MONKTON, MD 21111-1042
(410) 357-0099
Mailing address
16928 YORK RD, MONKTON, MD 21111-1022
(410) 357-0099
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11730
MD
Other
Enumeration date
12/01/2007
Last updated
01/28/2015
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