Lange, Ronald Mark
Lange, Ronald Mark is an individual health care provider with primary practice located at 8651 S Market Pl , Oak Creek WI 53154-3523. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Lange, Ronald Mark can be contacted via phone (414) 764-2110.Contact Information
Primary practice address
8651 S Market Pl
Oak Creek WI 53154-3523
Phone: (414) 764-2110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 5002042 | Wisconsin |
Profile Details
| NPI number | 1407069891 |
|---|---|
| LBN Legal business name | Lange, Ronald Mark |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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