Individual
JENNA LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
605 S 24TH AVE STE 10, WAUSAU, WI 54401-1705
(715) 845-9238
Mailing address
414 ASPEN GROVE LN, WAUSAU, WI 54403-9384
(715) 370-1553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6943-15
WI
Other
Enumeration date
07/06/2012
Last updated
07/01/2026
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