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1962420646
WILLIAM BLAKE LANE
COLUMBUS, GA
NPI
1962420646
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Other Name
W. BLAKE LANE
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA 6870)
Enumeration Date
2006-07-18
Last Update Date
2007-07-08
Business Address
Dr. WILLIAM BLAKE LANE D.D.S., M.S.D., PC
6440 BRADLEY PARK DR
COLUMBUS, GA 31904-3082
Phone number: 706-323-7217
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Mailing Address
Dr. WILLIAM BLAKE LANE D.D.S., M.S.D., PC
6440 BRADLEY PARK DR
COLUMBUS, GA 31904-3082
Phone number: 706-323-7217
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