Individual
DR. BRENT DELONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
571 COX RD, GASTONIA, NC 28054-0632
(704) 865-7603
(704) 865-6411
Mailing address
571 COX RD, GASTONIA, NC 28054-0632
(704) 865-7603
(704) 865-6411
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
10628
NC
Other
Enumeration date
04/26/2010
Last updated
11/13/2017
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