Long, Michael Walter
Long, Michael Walter is an individual health care provider with primary practice located at 78461 Highway 111 Plaza Dental Group, La Quinta CA 92253-2076. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Long, Michael Walter can be contacted via phone (760) 564-5455.Contact Information
Primary practice address
78461 Highway 111 Plaza Dental Group
La Quinta CA 92253-2076
Phone: (760) 564-5455
Fax: (760) 564-3874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 28749 | California |
Profile Details
| NPI number | 1538234745 |
|---|---|
| LBN Legal business name | Long, Michael Walter |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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