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1255670063
DR. JASON R. LONG DDS, PLLC
WILLIAMSON, WV
NPI
1255670063
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Entity Type
Organization
Authorized Contact
JASON RYAN LONG
Owner
304-236-2366
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2013-02-14
Last Update Date
2015-01-20
Business Address
DR. JASON R. LONG DDS, PLLC
215 LOGAN ST SUITE 41
WILLIAMSON, WV 25661-3600
Phone number: 304-236-2366
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Mailing Address
DR. JASON R. LONG DDS, PLLC
215 LOGAN ST SUITE 41
WILLIAMSON, WV 25661-3600
Phone number: 304-236-2366
Copy
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