Individual
DR. ANDREW JASON LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1930 EDWARDS LAKE RD, SUITE 134, BIRMINGHAM, AL 35235-3718
(205) 655-8090
Mailing address
1930 EDWARDS LAKE RD, SUITE 134, BIRMINGHAM, AL 35235-3718
(205) 655-8090
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5760
AL
Other
Enumeration date
08/12/2010
Last updated
01/13/2011
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