Provider Demographics
NPI:1467589713
Name:LANGENBACH-THOMAS DENTAL CORP
Entity Type:Organization
Organization Name:LANGENBACH-THOMAS DENTAL CORP
Other - Org Name:NORTH COUNTY DENTAL SLEEP MEDICINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNNE
Authorized Official - Middle Name:D
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-741-1231
Mailing Address - Street 1:127 E 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4201
Mailing Address - Country:US
Mailing Address - Phone:760-741-1231
Mailing Address - Fax:760-741-8961
Practice Address - Street 1:127 E 3RD AVE
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-4201
Practice Address - Country:US
Practice Address - Phone:760-741-1231
Practice Address - Fax:760-741-8961
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental