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1154413094
WILLIAM GOULD LONG
AUGUSTA, GA
NPI
1154413094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN009950)
Enumeration Date
2006-09-28
Last Update Date
2007-12-10
Business Address
Dr. WILLIAM GOULD LONG DDS
1810 CENTRAL AVE
AUGUSTA, GA 30904-5735
Phone number: 706-737-0133
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Mailing Address
Dr. WILLIAM GOULD LONG DDS
1810 CENTRAL AVE
AUGUSTA, GA 30904-5735
Phone number: 706-737-0133
Copy
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