Individual
DR. LANG SA THACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4815 BEREWICK TOWN CENTER DR STE I&J, CHARLOTTE, NC 28278-6733
(704) 800-0252
Mailing address
4815 BEREWICK TOWN CENTER DR UNIT J, CHARLOTTE, NC 28278-6733
(704) 800-0252
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12560
NC
1223G0001X
General Practice Dentistry
DGD.9717
SC
1223G0001X
General Practice Dentistry
DN25409
FL
Other
Enumeration date
08/21/2020
Last updated
02/14/2022
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