Individual
ADAM R LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
65-1230 MAMALAHOA HWY STE E21, KAMUELA, HI 96743-8319
(808) 887-8801
Mailing address
65-1230 MAMALAHOA HWY STE E21, KAMUELA, HI 96743-8319
(808) 887-8801
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
DT-2752
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT-2752
STATE LICENSE
HI
Enumeration date
12/04/2018
Last updated
01/04/2024
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