WILLIAM BLAKE LANE

COLUMBUS, GA
NPI1962420646
Other NameW. BLAKE LANE
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: GA  6870)
Enumeration Date2006-07-18
Last Update Date2007-07-08
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
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