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1013136381
WILLIAM G. LONGE
OCONOMOWOC, WI
NPI
1013136381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 2717-015)
Enumeration Date
2007-04-25
Last Update Date
2007-07-08
Business Address
Dr. WILLIAM G. LONGE D.D.S.
888 THACKERAY TRL SUITE 208
OCONOMOWOC, WI 53066-4342
Phone number: 262-567-8991
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Mailing Address
Dr. WILLIAM G. LONGE D.D.S.
888 THACKERAY TRL SUITE 208
OCONOMOWOC, WI 53066-4342
Phone number: 262-567-8991
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