Organization
ORCHARD ENDODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON WILLIAM LANG D.D.S., M.S. (MANAGER)
(586) 709-6343
Entity
Organization
Contact information
Practice address
52975 VAN DYKE AVE, SUITE 303, SHELBY TOWNSHIP, MI 48316-3544
(586) 709-6343
Mailing address
52975 VAN DYKE AVE, SUITE 303, SHELBY TOWNSHIP, MI 48316-3544
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2901018376
MI
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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