DR. Brian Lane

NPI #1710072277 in Vilonia, Arkansas

Provider Information

NPI Number
1710072277
Entity Type
Individual
Name
DR. Brian Lane
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 3, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
17 EAGLE PARK
ZIP Code
72173
Phone
(501) 796-3903

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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Organizations

Provider Name
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