DR. KEITH LONG, DDS
Dentist
Active
Individual
NPI: 1649320672
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist | 122300000X | Yes | 40662 (CA) |
Frequently Asked Questions
NPI 1649320672 is the National Provider Identifier for DR. KEITH LONG, DDS, a Dentist provider located in Lakeport, CA. This NPI was enumerated on January 11, 2007.
DR. KEITH LONG, DDS practices at 755 11TH ST, Lakeport, CA 95453.
Quick Facts
- NPI
- 1649320672
- Type
- Individual
- Enumerated
- Jan 11, 2007
- Last Updated
- Jun 4, 2019
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