ALLIE NICOLE LONG

CHULA VISTA, CA
NPI1659864023
Former NameALLIE NICOLE LONG
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: TX  34112)
Enumeration Date2018-06-11
Last Update Date2024-04-19
Business Address
Dr. ALLIE NICOLE LONG DDS
890 EASTLAKE PARKWAY SUITE 201
CHULA VISTA, CA 91914
Phone number: 619-421-2828
Mailing Address
Dr. ALLIE NICOLE LONG DDS
890 EASTLAKE PARKWAY SUITE 201
CHULA VISTA, CA 91914
Phone number: 619-421-2828