Organization
J. MONTY LANG, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE LANG (TREASURER)
(601) 656-7410
Entity
Organization
Contact information
Practice address
913 HOLLAND AVE, PHILADELPHIA, MS 39350-2115
(601) 656-7410
(601) 656-5052
Mailing address
PO BOX 389, PHILADELPHIA, MS 39350-0389
(601) 656-7410
(601) 656-5052
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2736-93
MS
Other
Enumeration date
05/14/2007
Last updated
06/05/2012
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