KEETH MARVIN LANE

ROBERTSDALE, AL
NPI1780843284
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AL  4306)
Enumeration Date2008-06-09
Last Update Date2016-06-06
Business Address
Dr. KEETH MARVIN LANE DDS
18100 HIGHWAY 104
ROBERTSDALE, AL 36567-8734
Phone number: 251-947-5940
Mailing Address
Dr. KEETH MARVIN LANE DDS
18100 HIGHWAY 104
ROBERTSDALE, AL 36567-8734
Phone number: 251-947-5940
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