Individual
BRENT R. LANG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1900 FOLSOM ST, BOULDER, CO 80302-5713
(303) 449-3250
Mailing address
1900 FOLSOM ST, BOULDER, CO 80302-5723
(303) 449-3250
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6921
CO
Other
Enumeration date
07/13/2005
Last updated
07/08/2007
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