BRUCE A LONG

SALIDA, CO
NPI1043478712
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: CO  503)
Enumeration Date2008-05-29
Last Update Date2008-05-29
Business Address
Dr. BRUCE A LONG D.D.S.
1222 C ST
SALIDA, CO 81201-2723
Phone number: 719-539-3145
Mailing Address
Dr. BRUCE A LONG D.D.S.
1222 C ST
SALIDA, CO 81201-2723
Phone number: 719-539-3145
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