LEE C LONG

TILLAMOOK, OR
NPI1073723953
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: OR  5674)
Enumeration Date2007-05-22
Last Update Date2007-07-08
Business Address
-- LEE C LONG DDS
1503 3RD ST
TILLAMOOK, OR 97141-3409
Phone number: 503-842-2386
Mailing Address
-- LEE C LONG DDS
1503 3RD ST
TILLAMOOK, OR 97141-3409
Phone number: 503-842-2386
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