Organization
ORAL SURGERY ASSOCIATES OF WISCONSIN, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY R LANG DDS (PRESIDENT)
(920) 725-5584
Entity
Organization
Contact information
Practice address
1155 WITTMANN DR, MENASHA, WI 54952-3607
(920) 725-5584
(920) 725-0160
Mailing address
1155 WITTMANN DR, MENASHA, WI 54952-3607
(920) 725-5584
(920) 725-0160
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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