Thomas H Lange DDS Fagd PC

NPI #1447260211 in La Jolla, California

Provider Information

NPI Number: 1447260211
Entity Type: Organization
Organization Name: Thomas H Lange DDS Fagd PC
Primary Specialty: Dentist
Enumeration Date: Aug 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 8950 VILLA LA JOLLA DRIVE
Address 2: STE A105
City: La Jolla
State: California
ZIP Code: 92037
Phone: (858) 452-5520

Authorized Official

Name: DR. THOMAS HOFFMAN LANGE, DDS
Title: DENTIST
Phone: (858) 452-5520

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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