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1124112107
GENE FREDRICK LONG
SEATTLE, WA
NPI
1124112107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WA DE00004514)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
Dr. GENE FREDRICK LONG DDS
11066 5TH AVE NE SUITE 203
SEATTLE, WA 98125-6156
Phone number: 206-361-9869
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Mailing Address
Dr. GENE FREDRICK LONG DDS
11066 5TH AVE NE SUITE 203
SEATTLE, WA 98125-6156
Phone number: 206-361-9869
Copy
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