MICHAEL J LONGLET

BEND, OR
NPI1245654789
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OR  D10402)
Additional Taxonomies122300000X Dentist
(Licence: MN  D13380)
Enumeration Date2014-02-04
Last Update Date2018-06-27
Business Address
MICHAEL J LONGLET DDS
775 SW BONNETT WAY STE 100
BEND, OR 97702
Phone number: 541-388-0078
Mailing Address
MICHAEL J LONGLET DDS
775 SW BONNETT WAY STE 100
BEND, OR 97702-2080
Phone number: 541-388-0078
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