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Dr. Robert T Long, DDS

Dentist, General Practice in Cleburne, TX. Individual provider (NPI-1).

NPI number1619088523
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1619088523
Entity type
Individual (NPI-1)
Name
Dr. Robert T Long
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Aug 31, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice17095TXYes

Practice location

907 W Henderson St
Cleburne, TX 76033

Phone 817-645-2437 · Fax 817-645-3961

Mailing address

907 W Henderson St
Cleburne, TX 76033

Phone 817-645-2437 · Fax 817-645-3961

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