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1669692349
WALTER R. LONG
CHARLESTON, SC
NPI
1669692349
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223E0200X Dentist, Endodontics
(Licence: SC 3707)
Enumeration Date
2007-04-26
Last Update Date
2007-07-08
Business Address
Dr. WALTER R. LONG D.M.D.
10 FARMFIELD AVE STE E
CHARLESTON, SC 29407-7756
Phone number: 843-766-0112
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Mailing Address
Dr. WALTER R. LONG D.M.D.
10 FARMFIELD AVE STE E
CHARLESTON, SC 29407-7756
Phone number:
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