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1447602370
JOSEPH LONG
URBANA, IL
NPI
1447602370
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL 018.001998)
Enumeration Date
2016-07-03
Last Update Date
2016-07-03
Business Address
Dr. JOSEPH LONG D.D.S.
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-326-1297
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Mailing Address
Dr. JOSEPH LONG D.D.S.
611 W PARK ST
URBANA, IL 61801-2529
Phone number:
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