James William Lange, DDS Valid NPI
Individual provider · Dentist · Fergus Falls, MN
- NPI
- 1023185295
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D7961 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-11-30
- Last updated
- 2007-07-08
Practice location
323 South Cascade Street
Fergus Falls, MN 56537
(218) 736-3179