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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 LEE LANIER (PRESIDENT)
32324619942
Entity
Organization
Contact information
Practice address
1155 N VERMONT AVE STE 100, LOS ANGELES, CA 90029-1759
(323) 461-9942
(323) 461-8147
Mailing address
1155 N VERMONT AVE STE 100, LOS ANGELES, CA 90029-1759
(323) 461-9942
(323) 461-8147
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
40088
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B40088
—
CA
Enumeration date
11/08/2006
Last updated
06/24/2016
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