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Contact Information

GREGORY G LONG, DDS
209 BIRCH STREET
WESTWOOD, CA96137
 Phone: 530-256-3152
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for GREGORY G LONG · (Male)

NPI # 1124376660
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 08/15/2012
Last updated 09/07/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 21475
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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