RICKY LANE

STATESBORO, GA
NPI1972689958
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: GA  10959)
Enumeration Date2006-10-31
Last Update Date2007-07-08
Business Address
Dr. RICKY LANE DDS, FAGD
504 GENTILLY ROAD
STATESBORO, GA 30458
Phone number: 912-764-5625
Mailing Address
Dr. RICKY LANE DDS, FAGD
223 MAGNOLIA PL
STATESBORO, GA 30461-4250
Phone number: 912-587-2055
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