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1033113915
SAM JERRY LONG
HOUSTON, TX
NPI
1033113915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 8307)
Enumeration Date
2005-06-09
Last Update Date
2007-07-08
Business Address
Dr. SAM JERRY LONG D.D.S.
6550 FANNIN ST STE 2103
HOUSTON, TX 77030-2722
Phone number: 713-797-0846
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Mailing Address
Dr. SAM JERRY LONG D.D.S.
6550 FANNIN ST STE 2103
HOUSTON, TX 77030-2722
Phone number: 713-797-0846
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