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1992719587
EVAN G LONG
CONCORD, NC
NPI
1992719587
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: NC 6693)
Enumeration Date
2006-07-28
Last Update Date
2007-07-08
Business Address
Dr. EVAN G LONG DDS
5641 POPLAR TENT RD SUITE 201
CONCORD, NC 28027-7533
Phone number: 704-795-2300
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Mailing Address
Dr. EVAN G LONG DDS
5641 POPLAR TENT RD SUITE 201
CONCORD, NC 28027-7533
Phone number: 704-795-2300
Copy
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