Individual
DR. RONALD MARK LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8651 S MARKET PL, OAK CREEK, WI 53154-3523
(414) 764-2110
Mailing address
1839 N WAUWATOSA AVE, WAUWATOSA, WI 53213-2241
(414) 258-4332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5002042
WI
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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