GERALD DENNIS LONG

CHEYENNE, WY
NPI1013050459
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WY  611)
Enumeration Date2007-02-15
Last Update Date2007-07-08
Business Address
Dr. GERALD DENNIS LONG DDS
3116 ACACIA DRIVE
CHEYENNE, WY 82001-5804
Phone number: 307-634-3488
Mailing Address
Dr. GERALD DENNIS LONG DDS
3116 ACACIA DRIVE
CHEYENNE, WY 82001-5804
Phone number: 307-634-3488
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