Alissa S Lange, DENTAL HYGIENIST

NPI #1215543004 in Boscobel, Wisconsin

Provider Information

NPI Number: 1215543004
Entity Type: Individual
Name: Alissa S Lange, DENTAL HYGIENIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: DENTAL HYGIENIST
Enumeration Date: Sep 17, 2020
Last Updated: Sep 17, 2020

Practice Location

Address: 105 E BLUFF ST
City: Boscobel
State: Wisconsin
ZIP Code: 53805-1610
Phone: (608) 654-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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