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Brian Lane D.d.s. P.a. 2

NPI #1578749198 in Mayflower, Arkansas

Provider Information

NPI Number
1578749198
Entity Type
Organization
Organization Name
Brian Lane D.d.s. P.a. 2
Primary Specialty
Dentist
Enumeration Date
Jan 14, 2008
Last Updated
Jan 14, 2008

Practice Location

Address
582 HIGHWAY 365 STE 4
City
Mayflower
State
Arkansas
ZIP Code
72106-9525
Phone
(501) 470-9900

Authorized Official

Name
DR. BRIAN LANE
Title
PRESIDENT
Phone
(501) 470-9900

Specialties & Taxonomy Codes

Specialty
Dentist

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