Individual
DR. MARK ALBERT LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2320 GLADE ST, MUSKEGON, MI 49444-1317
(231) 733-7708
Mailing address
3961 LAKE POINT DR, MUSKEGON, MI 49441-4690
(231) 733-7708
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012522
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4054547
—
MI
Enumeration date
12/27/2006
Last updated
07/09/2007
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