BRIAN LANE D D S PA

VILONIA, AR
NPI1831711910
Entity TypeOrganization
Authorized ContactBRIAN LANE
President
501-796-3903
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
Enumeration Date2020-05-12
Last Update Date2020-06-10
Business Address
BRIAN LANE D D S PA
17 EAGLE PARK DR
VILONIA, AR 72173-9050
Phone number: 501-425-1583
Mailing Address
BRIAN LANE D D S PA
PO BOX 130
VILONIA, AR 72173-0130
Phone number: 501-796-3903