Individual
DR. THOMAS FRANCIS LANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4660 W COLLEGE AVE, APPLETON, WI 54913-8507
(920) 730-0345
(920) 954-0155
Mailing address
613 W PROSPECT AVE, APPLETON, WI 54911-6042
(920) 733-1383
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3053015
WI
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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