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1073723953
LEE C LONG
TILLAMOOK, OR
NPI
1073723953
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OR 5674)
Enumeration Date
2007-05-22
Last Update Date
2007-07-08
Business Address
-- LEE C LONG DDS
1503 3RD ST
TILLAMOOK, OR 97141-3409
Phone number: 503-842-2386
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Mailing Address
-- LEE C LONG DDS
1503 3RD ST
TILLAMOOK, OR 97141-3409
Phone number: 503-842-2386
Copy
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