GREGORY WILLIAM LONG

ZELIENOPLE, PA
NPI1013076389
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: PA  DS029696L)
Additional Taxonomies122300000X Dentist
(Licence: FL  DN16563)
Enumeration Date2006-12-06
Last Update Date2011-11-23
Business Address
-- GREGORY WILLIAM LONG DMD
207 EMERSON DRIVE
ZELIENOPLE, PA 16063
Phone number: 724-452-7887
Mailing Address
-- GREGORY WILLIAM LONG DMD
306 WEST SOLOMON CT
ZELIENOPLE, PA 16063
Phone number: 724-453-0622
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