Individual
DR. KRISTEN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
18119 CASHELL RD, OLNEY, MD 20832-2003
(301) 774-2000
Mailing address
18119 CASHELL RD, OLNEY, MD 20832-2003
(301) 774-2000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15501
MD
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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