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Organization
STEVEN L LANG DDS
Active
Organization
STEVEN L LANG DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA LANG (OFFICE MANAGER)
(757) 488-8884
Entity
Organization
Contact information
Practice address
6224 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-1345
(757) 488-8884
Mailing address
6224 PORTSMOUTH BLVD, PORTSMOUTH, VA 23701-1345
(757) 488-8884
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005645
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006250
ANTHEM
VA
05
—
007801351
—
VA
01
—
849555
UNITED CONCORDIA
VA
Enumeration date
01/31/2007
Last updated
07/14/2008
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