Individual
DR. MATTHEW JOSEPH LANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2050A SECOND ST. SE, 377TH MEDICAL GROUP, KIRTLAND AFB, NM 87117-5522
(505) 846-3027
Mailing address
2050A SECOND ST. SE, 377TH MEDICAL GROUP, KIRTLAND AFB, NM 87117-5522
(505) 846-3027
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS037944
PA
Other
Enumeration date
06/23/2009
Last updated
08/21/2009
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