BRIAN LANE

VILONIA, AR
NPI1710072277
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AR  3395)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
Dr. BRIAN LANE
17 EAGLE PARK
VILONIA, AR 72173
Phone number: 501-796-3903
Mailing Address
Dr. BRIAN LANE
PO BOX 130
VILONIA, AR 72173
Phone number:
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