GRACE K LAINE

TAMPA, FL
NPI1699134171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: FL  DH22658)
Enumeration Date2016-02-12
Last Update Date2016-02-12
Business Address
-- GRACE K LAINE
3250 ZEMKE AVE
TAMPA, FL 33621-5023
Phone number: 813-827-9400
Mailing Address
-- GRACE K LAINE
6814 S HESPERIDES ST
TAMPA, FL 33616-2536
Phone number: 954-294-8860
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