Organization · Type 2 NPI
Professional Lane Dental, PLLC
Dental Clinic/Center · Dothan, AL
NPI number
1508486424
Active
Practice location
102 Professional Ln
Dothan, AL 36303-3874
Fax (334) 702-6896
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1508486424
Professional Lane Dental, PLLC's National Provider Identifier is 1508486424, issued on Apr 21, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Dothan, AL. The record was last updated on May 13, 2020.