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1487184248
ALEX LONG
CONROE, TX
NPI
1487184248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WI 1001538-15)
Enumeration Date
2017-06-14
Last Update Date
2023-09-29
Business Address
ALEX LONG DMD
1805 W WHITE OAK TER STE A
CONROE, TX 77304-3456
Phone number: 414-840-2822
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Mailing Address
ALEX LONG DMD
229 E FRANKLIN ST
APPLETON, WI 54911-5434
Phone number: 920-332-6691
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