Individual
MRS. THERESA MARIE LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1226 L ST, AURORA, NE 68818-2047
(402) 694-6154
Mailing address
4016 SCHEEL DR, GRAND ISLAND, NE 68801-9711
(308) 645-9458
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1979
NE
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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