License holder summary

LONG MUGIANTO is a Dentist licensed to practice in Pennsylvania. The address on file for LONG MUGIANTO is RADNOR PA 19087. This medical practitioner license is not current. The license was granted 05/20/2010 and expired on 03/31/2013.

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

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