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Individual
DR. TIMOTHY CORRIGAN LANG
Active
Individual
DR. TIMOTHY CORRIGAN LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN14085
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
ME0068501
FL
Other
Enumeration date
09/23/2005
Last updated
07/20/2020
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