Individual
DR. CORY JOHN LANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5205 S DURANGO DR STE 103, LAS VEGAS, NV 89113-0179
(702) 384-2828
Mailing address
8113 EAGLE CLAN CT, LAS VEGAS, NV 89131-1453
(661) 750-9610
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7851
NV
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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