Organization
WISCO DENTAL, S.C.
Active
Other names
Fox Valley Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY R LANG DDS (PRESIDENT)
(920) 725-1845
Entity
Organization
Contact information
Practice address
1155 WITTMANN DR, MENASHA, WI 54952-3607
(920) 725-1845
(920) 725-2805
Mailing address
1155 WITTMANN DR, MENASHA, WI 54952-3607
(920) 725-1845
(920) 725-2805
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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