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1740589720
TIFFANI A, LONG
FARMINGTON, AR
NPI
1740589720
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Entity Type
Organization
Authorized Contact
TIFFANI A LONG
Dentist
479-267-5009
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AR 3650)
Enumeration Date
2011-03-16
Last Update Date
2011-03-16
Business Address
TIFFANI A, LONG
181 W MAIN ST
FARMINGTON, AR 72730-2945
Phone number: 479-267-5009
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Mailing Address
TIFFANI A, LONG
181 W MAIN ST
FARMINGTON, AR 72730-2945
Phone number: 479-267-5009
Copy
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