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Organization
THOMAS H LANGE DDS FAGD PC
Active
Organization
THOMAS H LANGE DDS FAGD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS HOFFMAN LANGE DDS (DENTIST)
(858) 452-5520
Entity
Organization
Contact information
Practice address
8950 VILLA LA JOLLA DRIVE, STE A105, LA JOLLA, CA 92037
(858) 452-5520
(858) 452-5525
Mailing address
8950 VILLA LA JOLLA DRIVE, STE A105, LA JOLLA, CA 92037
(858) 452-5520
(858) 452-5525
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
24132
CA
122300000X
Dentist
Primary
48749
CA
Other
Enumeration date
08/08/2006
Last updated
08/22/2020
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