| NPI | 1922700434 |
|---|---|
| Doing Business As | KIMBERLEY LANE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | VIET TRAN Owner Dentist 225-993-2907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-03-20 |
| Last Update Date | 2023-03-20 |