Long Mugianto, D.M.D
NPI 1942529425 · on the registry since 2010
Practice
- Address
- 3400 Lombardy Ln Ste 100
Dallas, TX 75220 - Phone
- (214) 350-5333
- Fax
- (214) 350-8555
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Dentist
122300000X
- Also registered as
- Dentist
- Licence states on file
- PA, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-14
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