Professional Lane Dental Association

NPI #1871774851 in Dothan, Alabama

Provider Information

NPI Number: 1871774851
Entity Type: Organization
Organization Name: Professional Lane Dental Association
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 19, 2007
Last Updated: Nov 19, 2007

Practice Location

Address: 102 PROFESSIONAL LN
City: Dothan
State: Alabama
ZIP Code: 36303-3874
Phone: (334) 792-0997

Authorized Official

Name: DR. TONY W DOLLAR, DMD
Title: DOCTOR
Phone: (334) 792-0997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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