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1407201809
JACOB LONG
WILMINGTON, NC
NPI
1407201809
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: NC 10411)
Enumeration Date
2016-05-04
Last Update Date
2016-07-13
Business Address
JACOB LONG D.D.S.
1611 GREENFIELD ST
WILMINGTON, NC 28401-6455
Phone number: 910-342-9210
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Mailing Address
JACOB LONG D.D.S.
1611 GREENFIELD ST
WILMINGTON, NC 28401-6455
Phone number: 910-342-9210
Copy
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