GREGORY D LONG

PEORIA, IL
NPI1790310431
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IL  021.003022)
Enumeration Date2020-03-03
Last Update Date2020-03-03
Business Address
Dr. GREGORY D LONG DMD
7131 N KNOXVILLE AVE STE B
PEORIA, IL 61614-2088
Phone number: 309-692-2700
Mailing Address
Dr. GREGORY D LONG DMD
7131 N KNOXVILLE AVE STE B
PEORIA, IL 61614-2088
Phone number: 309-692-2700
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