JOSEPH LONG

URBANA, IL
NPI1447602370
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: IL  018.001998)
Enumeration Date2016-07-03
Last Update Date2016-07-03
Business Address
Dr. JOSEPH LONG D.D.S.
611 W PARK ST
URBANA, IL 61801-2529
Phone number: 217-326-1297
Mailing Address
Dr. JOSEPH LONG D.D.S.
611 W PARK ST
URBANA, IL 61801-2529
Phone number: