W.ROGER LONG DDS.,P.A.

FORT PIERCE, FL
NPI1932602661
Entity TypeOrganization
Authorized ContactW.ROGER LONG
Owner
772-464-2943
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: FL  9663)
Enumeration Date2018-03-08
Last Update Date2018-03-08
Business Address
W.ROGER LONG DDS.,P.A.
1511 S 25TH ST
FORT PIERCE, FL 34947-4779
Phone number: 772-464-2943
Mailing Address
W.ROGER LONG DDS.,P.A.
1511 S 25TH ST
FORT PIERCE, FL 34947-4779
Phone number: 772-464-2943
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