DR. Ricky Lane, DDS, FAGD
NPI #1972689958 in Statesboro, Georgia
Provider Information
- NPI Number
- 1972689958
- Entity Type
- Individual
- Name
- DR. Ricky Lane, DDS, FAGD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS, FAGD
- Enumeration Date
- Oct 31, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 504 GENTILLY ROAD
- City
- Statesboro
- State
- Georgia
- ZIP Code
- 30458
- Phone
- (912) 764-5625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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