DR. Ronald Mark Lange, DDS

NPI #1407069891 in Oak Creek, Wisconsin

Provider Information

NPI Number: 1407069891
Entity Type: Individual
Name: DR. Ronald Mark Lange, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 8, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 8651 S MARKET PL
City: Oak Creek
State: Wisconsin
ZIP Code: 53154-3523
Phone: (414) 764-2110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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