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1912077546
RYAN R LONG
JACKSONVILLE, FL
NPI
1912077546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: FL DN17052)
Enumeration Date
2006-11-09
Last Update Date
2010-04-14
Business Address
-- RYAN R LONG DDS
13820 SAINT AUGUSTINE RD STE 105
JACKSONVILLE, FL 32258-5424
Phone number: 904-260-7700
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Mailing Address
-- RYAN R LONG DDS
926 GREAT POND DR SUITE 4000
ALTAMONTE SPRINGS, FL 32714-7244
Phone number: 407-772-5124
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