DIANA MARIE LONG

MADISON, MS
NPI1124391347
Professional NameDIANA LONG PAPPA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MS  3757)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
122300000X Dentist
(Licence: AL  6018)
Enumeration Date2012-02-18
Last Update Date2016-11-28
Business Address
-- DIANA MARIE LONG DDS
504 NEWBURY DR
MADISON, MS 39110-4574
Phone number: 256-335-7042
Mailing Address
-- DIANA MARIE LONG DDS
504 NEWBURY DR
MADISON, MS 39110-4574
Phone number: 256-335-7042