JACOB LONG

WILMINGTON, NC
NPI1407201809
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: NC  10411)
Enumeration Date2016-05-04
Last Update Date2016-07-13
Business Address
-- JACOB LONG D.D.S.
1611 GREENFIELD ST
WILMINGTON, NC 28401-6455
Phone number: 910-342-9210
Mailing Address
-- JACOB LONG D.D.S.
1611 GREENFIELD ST
WILMINGTON, NC 28401-6455
Phone number: 910-342-9210
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