DR SHAWN R LONG DDS PC

SOUTH BEND, IN
NPI1346313236
Entity TypeOrganization
Authorized ContactPATRICIA L LONG
Partner
574-243-8843
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: IN  12009672)
Enumeration Date2006-11-16
Last Update Date2020-08-22
Business Address
DR SHAWN R LONG DDS PC
16329 STATE RD 23
SOUTH BEND, IN 46635
Phone number: 574-243-8843
Mailing Address
DR SHAWN R LONG DDS PC
16329 STATE RD 23
SOUTH BEND, IN 46635
Phone number: 574-243-8843
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