NATHAN LONG

CHICAGO, IL
NPI1518096361
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IL  019017543)
Enumeration Date2007-03-05
Last Update Date2007-07-08
Business Address
Mr. NATHAN LONG D.D.S
8210 S KING DR
CHICAGO, IL 60619-4904
Phone number: 773-233-1119
Mailing Address
Mr. NATHAN LONG D.D.S
8210 S KING DR
CHICAGO, IL 60619-4904
Phone number: 773-233-1119
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