Provider Demographics
NPI:1265426100
Name:MADLANG, CESAR GREGORY (DDS)
Entity type:Individual
Prefix:DR
First Name:CESAR
Middle Name:GREGORY
Last Name:MADLANG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8064 W JEWELL AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-6708
Mailing Address - Country:US
Mailing Address - Phone:303-985-3624
Mailing Address - Fax:303-985-5527
Practice Address - Street 1:8064 W JEWELL AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-6708
Practice Address - Country:US
Practice Address - Phone:303-985-3624
Practice Address - Fax:303-985-5527
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO104022122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist