Individual
DR. ALLEN D LANGEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1345 W TOWNE SQUARE RD, MEQUON, WI 53092-5047
(262) 242-1180
(262) 236-9079
Mailing address
1345 W TOWNE SQUARE RD, MEQUON, WI 53092-5047
(262) 242-1180
(262) 236-9079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2294
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2294
STATE LICENSE NUMBER
WI
05
—
33393200
—
WI
Enumeration date
05/21/2007
Last updated
01/18/2013
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