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1720205107
ELIZABETH ANN LONG
AUSTIN, TX
NPI
1720205107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: TX 12129)
Enumeration Date
2007-04-19
Last Update Date
2007-07-08
Business Address
-- ELIZABETH ANN LONG D.D.S.
3421 W WILLIAM CANNON DR SUITE 143
AUSTIN, TX 78745-5000
Phone number: 512-892-5511
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Mailing Address
-- ELIZABETH ANN LONG D.D.S.
3421 W WILLIAM CANNON DR SUITE 143
AUSTIN, TX 78745-5000
Phone number: 512-892-5511
Copy
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