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1265503585
BRIAN MICHAEL LONG
DEARBORN, MI
NPI
1265503585
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 016216)
Enumeration Date
2006-11-10
Last Update Date
2007-07-08
Business Address
Dr. BRIAN MICHAEL LONG D.D.S.
22100 OUTER DR
DEARBORN, MI 48124-3932
Phone number: 313-563-5855
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Mailing Address
Dr. BRIAN MICHAEL LONG D.D.S.
22100 OUTER DR
DEARBORN, MI 48124-3932
Phone number: 313-563-5855
Copy
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