JACOB DANIEL LONG

JASPER, IN
NPI1710335401
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: IN  1202497A)
Enumeration Date2016-06-02
Last Update Date2021-09-21
Business Address
Dr. JACOB DANIEL LONG DDS, MSD
1950 SAINT CHARLES ST STE 6
JASPER, IN 47546-9172
Phone number: 812-482-7668
Mailing Address
Dr. JACOB DANIEL LONG DDS, MSD
1950 SAINT CHARLES ST STE 6
JASPER, IN 47546-9172
Phone number: 812-482-7668
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