Provider Demographics
NPI:1053841718
Name:LANG & MILLWARD AESTHETIC & RESTORATIVE DENTISTRY
Entity Type:Organization
Organization Name:LANG & MILLWARD AESTHETIC & RESTORATIVE DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BELANGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-365-6691
Mailing Address - Street 1:890 NORTHERN WAY STE G
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-3880
Mailing Address - Country:US
Mailing Address - Phone:407-365-6691
Mailing Address - Fax:407-971-9330
Practice Address - Street 1:890 NORTHERN WAY STE G
Practice Address - Street 2:
Practice Address - City:WINTER SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32708-3880
Practice Address - Country:US
Practice Address - Phone:407-365-6691
Practice Address - Fax:407-971-9330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty