| NPI | 1457565483 |
|---|---|
| Other Name | HOLLY R. LANE, DDS, PA |
| Entity Type | Organization |
| Authorized Contact | HOLLY ROSHARON LANE President 210-545-3929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX D 16514) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX D 18205) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2008-06-13 |