Jane L Lang DDS

NPI 1639299175 - Dentist - 1223G0001X

NPI Details
NPI 1639299175
Gender Female
Enumeration Date 03/29/2007
Last Updated 01/22/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
4801 W PETERSON AVE
SUITE #212
CHICAGO IL, 60646-5713, US
Phone (773) 481-5906
Fax
Business Location
4801 W PETERSON AVE
SUITE #212
CHICAGO IL, 60646-5713, US
Phone (773) 481-5906
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Illinois
License Number 019027084
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According to our database, Dr. Jane L Lang DDS NPI is 1639299175, taxonomy code is 1223G0001X and license number is 019027084, license state is located at Illinois. Jane L Lang DDS physically located at 4801 W Peterson Ave, Chicago IL, 60646-5713. NPI Number Jane L Lang DDS has the Individual type.

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1639299175 NPI number is provided on an as is basis without warranty of any kind. 1639299175 is maintained by the National Plan & Provider Enumeration System. The contents of Jane L Lang DDS are for informational purposes only.