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Organization
LANGE FAMILY DENTAL CARE
Active
Organization
LANGE FAMILY DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA M HUGHES (INSURANCE)
(231) 733-7707
Entity
Organization
Contact information
Practice address
2320 GLADE ST, MUSKEGON, MI 49444-1317
(231) 733-7708
(231) 733-0631
Mailing address
2320 GLADE ST, MUSKEGON, MI 49444-1317
(231) 733-7708
(231) 733-0631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467517607
—
MI
Enumeration date
08/10/2020
Last updated
08/10/2020
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