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1659864023
ALLIE NICOLE LONG
CHULA VISTA, CA
NPI
1659864023
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Former Name
ALLIE NICOLE LONG
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: TX 34112)
Enumeration Date
2018-06-11
Last Update Date
2024-04-19
Business Address
Dr. ALLIE NICOLE LONG DDS
890 EASTLAKE PARKWAY SUITE 201
CHULA VISTA, CA 91914
Phone number: 619-421-2828
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Mailing Address
Dr. ALLIE NICOLE LONG DDS
890 EASTLAKE PARKWAY SUITE 201
CHULA VISTA, CA 91914
Phone number: 619-421-2828
Copy
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