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1992111975
TIMOTHY PARKER LONG
BEAUMONT, TX
NPI
1992111975
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: TX 30056)
Enumeration Date
2014-07-10
Last Update Date
2014-07-10
Business Address
-- TIMOTHY PARKER LONG
6830 PHELAN BLVD
BEAUMONT, TX 77706-5970
Phone number: 409-860-9600
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Mailing Address
-- TIMOTHY PARKER LONG
1550 KATY GAP RD #3402
KATY, TX 77494-4353
Phone number: 281-793-8735
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