Individual
LONG KENNETH KHUU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3101 W MICHIGAN AVE STE E, PENSACOLA, FL 32526-1876
(850) 972-1841
Mailing address
410 W NINE MILE RD, PENSACOLA, FL 32534-1954
(850) 462-5333
(850) 462-5888
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24930
FL
Other
Enumeration date
08/13/2020
Last updated
02/14/2025
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