Individual
DR. JEFFREY ROBERT LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3432 N ASSOCIATION DR, APPLETON, WI 54914
(920) 731-1213
(920) 731-1620
Mailing address
3432 N ASSOCIATION DR, APPLETON, WI 54914
(920) 731-1213
(920) 737-1213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5069
WI
1223G0001X
General Practice Dentistry
8193
CO
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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