| NPI | 1285091413 |
|---|---|
| Doing Business As | LONG DENTAL DDS |
| Entity Type | Organization |
| Authorized Contact | SUSAN MARIE LONG Dentist 313-549-7374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MI 2901019134) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |