# LISA A. LANGFORD D.D.S., P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598092058
- **Authorized official:** DR. LISA A LANGFORD D.D.S. (DR.)
- **Authorized official phone:** (734) 721-3800

## Contact information

- **Practice address:** 1250 MIDDLEBELT, INKSTER, MI 48141-1628
- **Practice address phone:** (734) 721-3800
- **Practice address fax:** (734) 721-4746
- **Mailing address:** 1250 MIDDLEBELT RD, INKSTER, MI 48141-1628
- **Mailing address phone:** (734) 721-3800
- **Mailing address fax:** (734) 721-4746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 14100 | NULL | Yes |
| 122300000X | Dentist | 14100 | — | Yes |

## Other

- **Enumeration date:** 11/04/2009
- **Last updated:** 11/04/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1763353 | — | MI |
