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1740311406
RICHARD CLARK LANE
PETALUMA, CA
NPI
1740311406
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 31488)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Dr. RICHARD CLARK LANE DDS
131 LYNCH CREEK WAY SUITE C
PETALUMA, CA 94954-2300
Phone number: 707-762-6645
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Mailing Address
Dr. RICHARD CLARK LANE DDS
131 LYNCH CREEK WAY SUITE C
PETALUMA, CA 94954-2300
Phone number: 707-762-6645
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