AUDRA LONG

WATERTOWN, WI
NPI1922475458
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: WI  1001200 - 15)
Enumeration Date2015-09-01
Last Update Date2015-09-01
Business Address
Dr. AUDRA LONG DDS, MS
1510 DOCTORS CT
WATERTOWN, WI 53094-4102
Phone number: 920-261-3560
Mailing Address
Dr. AUDRA LONG DDS, MS
1520 ROCKRIDGE WAY
WAUKESHA, WI 53188-8009
Phone number: 920-716-1513