DENISE LONG

WAUSAU, WI
NPI1114119534
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: WI  5762015)
Enumeration Date2007-08-10
Last Update Date2007-08-10
Business Address
-- DENISE LONG
3650 STEWART AVE
WAUSAU, WI 54401-3944
Phone number: 715-845-3171
Mailing Address
-- DENISE LONG
3650 STEWART AVE
WAUSAU, WI 54401-3944
Phone number:
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