| NPI | 1780437996 |
|---|---|
| Doing Business As | JERRY LANIER, DDS, INC |
| Doing Business As | STAR TEK ADULT DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | MICHELLE AMMONS Administator 661-312-1433 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-04-08 |