Individual
DR. JASON WILLIAM LANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1982 HOLLAND AVE, PORT HURON, MI 48060-1520
(810) 985-7300
(810) 985-7803
Mailing address
11300 E 13 MILE RD, WARREN, MI 48093-2500
(586) 573-6308
(586) 573-6308
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
2901018376
MI
Other
Enumeration date
07/13/2007
Last updated
07/13/2007
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