Mark Albert Lange D.D.S.

NPI 1467517607 - Dentist - 1223G0001X

NPI Details
NPI 1467517607
Gender Male
Enumeration Date 12/27/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2320 GLADE ST
MUSKEGON MI, 49444-1317, US
Phone (231) 733-7708
Fax
Business Location
3961 LAKE POINT DR
MUSKEGON MI, 49441-4690, US
Phone (231) 733-7708
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Michigan
License Number 012522
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According to our database, Dr. Mark Albert Lange D.D.S. NPI is 1467517607, taxonomy code is 1223G0001X and license number is 012522, license state is located at Michigan. Mark Albert Lange D.D.S. physically located at 2320 Glade St, Muskegon MI, 49444-1317. NPI Number Mark Albert Lange D.D.S. has the Individual type.

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1467517607 NPI number is provided on an as is basis without warranty of any kind. 1467517607 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Albert Lange D.D.S. are for informational purposes only.