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Keely Long, DDS
NPI 1629563291 · on the registry since 2018 · sole proprietor
Practice
- Address
- 8338 N Loop 1604 W Ste 104
San Antonio, TX 78249 - Phone
- (210) 465-1153
- Organisation at this address
- Ideal Dental Of Road Runner Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas