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Organization
JERRY L LANIER DDS INC
Active
Organization
JERRY L LANIER DDS INC
Active
Other names
Star Tek Adult Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY LEE LANIER (PRESIDENT)
(323) 461-9942
Entity
Organization
Contact information
Practice address
1814 N DINUBA BLVD, VISALIA, CA 93291-3014
(559) 589-8700
Mailing address
5449 HOLLYWOOD BLVD STE A, LOS ANGELES, CA 90027-3454
(323) 203-2564
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
08/29/2022
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