NPI | 1750316725 |
---|---|
Doing Business As | SCOTT LONG DMD LLC |
Entity Type | Organization |
Authorized Contact | DAVID SCOTT LONG LLC Manager & President 334-712-1224 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AL 4527) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2014-07-23 |