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Organization
JERRY L LANIER DDS INC
Active
Organization
JERRY L LANIER DDS INC
Active
Other names
Kids Dental Kare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY L LANIER DDS (PREDIDENT/CEO)
(323) 461-9942
Entity
Organization
Contact information
Practice address
10965 FIRESTONE BLVD, NORWALK, CA 90650-2242
(562) 228-1880
Mailing address
4905 HOLLYWOOD BLVD, LOS ANGELES, CA 90027-6101
(323) 461-9942
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356489660
—
CA
Enumeration date
07/31/2014
Last updated
07/31/2014
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