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Shane Langolf, DMD
NPI 1194716670 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1616 Gratiot Blvd
Marysville, MI 48040 - Phone
- (810) 364-7601
- Fax
- (810) 364-9010
- Organisation at this address
- Pgs D-Provider Dentistry Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan