Individual
DR. CRAIG ALAN LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
16131 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1002
(210) 655-2753
Mailing address
607 RIDGE TRCE, SAN ANTONIO, TX 78258-6915
(573) 703-5303
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
013125
MO
1223G0001X
General Practice Dentistry
Primary
24135
TX
1223G0001X
General Practice Dentistry
56876
CA
Other
Enumeration date
10/25/2006
Last updated
12/17/2021
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