Individual
MR. JAMES WILLIAM LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
323 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537
(218) 736-3179
(218) 736-7959
Mailing address
323 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537
(218) 736-3179
(218) 736-7959
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7961
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61512-LA
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/30/2006
Last updated
07/08/2007
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