J. Monty Lang, Dds, PA

NPI #1659586287 in Philadelphia, Mississippi

Provider Information

NPI Number: 1659586287
Entity Type: Organization
Organization Name: J. Monty Lang, Dds, PA
Primary Specialty: Dentist - General Practice
Enumeration Date: May 14, 2007
Last Updated: Jun 5, 2012

Practice Location

Address: 913 HOLLAND AVE
City: Philadelphia
State: Mississippi
ZIP Code: 39350-2115
Phone: (601) 656-7410

Authorized Official

Name: MRS. MICHELLE LANG
Title: TREASURER
Phone: (601) 656-7410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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