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Organization
JERRY L LANIER DDS, INC
Active
Organization
JERRY L LANIER DDS, INC
Active
Other names
Kids 2 Dentist Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY LEE LANIER (PRESIDENT, OWNER)
(323) 203-2564
Entity
Organization
Contact information
Practice address
460 E SHAW AVE, FRESNO, CA 93710-7602
(323) 203-2564
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
02/01/2022
Last updated
03/17/2022
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