Department of State
Board of Medicine
LONG MUGIANTO
Dentist
License number
DS038251
Date granted
05/20/2010
Date expires
03/31/2013
Class
Dentist
Status
Inactive
Address
RADNOR PA 19087
medicinepa.com
ID 37434498
LAST UPDATED 2024-03-03 14:43:52 UTC
LAST UPDATED 2024-03-03 14:43:52 UTC
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