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1407069891
RONALD MARK LANGE
OAK CREEK, WI
NPI
1407069891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: WI 5002042)
Enumeration Date
2007-05-08
Last Update Date
2007-07-08
Business Address
DR. RONALD MARK LANGE DDS
8651 S MARKET PL
OAK CREEK, WI 53154-3523
Phone number: 414-764-2110
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Mailing Address
DR. RONALD MARK LANGE DDS
1839 N WAUWATOSA AVE
WAUWATOSA, WI 53213-2241
Phone number: 414-258-4332
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