TANYA L LONG

LOUISVILLE, KY
NPI1689833998
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: KY  8599)
Additional Taxonomies122300000X Dentist
(Licence: KY  8599)
1223G0001X Dentist, General Practice
(Licence: IN  12011588A)
Enumeration Date2008-06-03
Last Update Date2024-10-19
Business Address
Dr. TANYA L LONG DMD
901 S 15TH ST
LOUISVILLE, KY 40210-1368
Phone number: 800-787-2812
Mailing Address
Dr. TANYA L LONG DMD
901 S 15TH ST
LOUISVILLE, KY 40210-1368
Phone number: 800-787-2812