Provider Demographics
NPI:1770534257
Name:LANG, RUDOLPH DEAN (DDS)
Entity type:Individual
Prefix:DR
First Name:RUDOLPH
Middle Name:DEAN
Last Name:LANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:7325 MEDICAL CENTER DR
Mailing Address - Street 2:SUITE # 301
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-1925
Mailing Address - Country:US
Mailing Address - Phone:818-703-8200
Mailing Address - Fax:818-703-8296
Practice Address - Street 1:7325 MEDICAL CENTER DR
Practice Address - Street 2:SUITE # 301
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-1925
Practice Address - Country:US
Practice Address - Phone:818-703-8200
Practice Address - Fax:818-703-8296
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA0343601223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery